Individual provider Active NPI

Lauren Andrea Mupanomunda, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1073130795
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
945 River Ave Ste 201
Lakewood, NJ 08701-5675
Phone
(732) 833-3723
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 Primary

Addresses

Primary practice location

945 River Ave Ste 201
Lakewood, NJ 08701-5675

Mailing address

1275 Rock Ave Apt N8
North Plainfield, NJ 07060-3545
Phone (732) 485-2474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Brainbuilders Speech-Language Pathologist CurrentSince Jan 15, 2023 Accepting new patients
Brainbuilders Speech-Language Pathologist PastSince Jul 5, 2020 Accepting new patients

Locations

945 River Ave
Ste 201
Lakewood, NJ 08701
Phone (347) 962-9235

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1073130795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 ROCK AVE APT N8",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603545",
            "telephone_number": "732-485-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER AVE STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015675",
            "telephone_number": "732-833-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPANOMUNDA",
        "first_name": "LAUREN",
        "middle_name": "ANDREA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.