Individual provider Active NPI

Tanvi Amin

  • Speech-Language Pathologist
  • Bloomfield, NJ
National Provider Identifier
1063910388
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00901300 Issued in NJ
Practice address
20 Alexander Ave
Bloomfield, NJ 07003-3141
Phone
(646) 300-5689
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00901300 NJ Primary

Addresses

Primary practice location

20 Alexander Ave
Bloomfield, NJ 07003-3141

Mailing address

20 Alexander Ave
Bloomfield, NJ 07003-3141
Phone (646) 300-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124000583 NJ Practitioner - Qualified Speech Language Pathologist 2961761705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lori Speaks, LLCGroup PAC ID 0446569644, 16 clinicians

Practice addresses (Care Compare)

17 Watchung PLZ
Montclair, NJ 07042-4117
Phone (973) 744-0804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00901300NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Speaks, LLC Speech-Language Pathologist CurrentSince Dec 1, 2017 Accepting new patients

Locations

17 Watchung Plz
Montclair, NJ 07042
Phone (973) 744-0804

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1063910388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALEXANDER AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033141",
            "telephone_number": "646-300-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ALEXANDER AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033141",
            "telephone_number": "646-300-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "TANVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00901300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.