Organization Active NPI

Neurorehab & Speech Healers, LLC

  • Speech-Language Pathologist
  • Red Bank, NJ
National Provider Identifier
1073268983
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEUROREHAB & SPEECH HEALERS, LLC
Practice address
10 Route 35
Red Bank, NJ 07701-5902
Phone
(732) 743-8383
Fax
(732) 671-0959
NPI assigned
Feb 18, 2022
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Robert KevlinNPI 1174905947
Title
Owner
Phone
(732) 580-8219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10 Route 35
Red Bank, NJ 07701-5902

Mailing address

65 Pate Dr
Middletown, NJ 07748-1749
Phone (732) 580-9929

Other practice location 1

8586 Potter Park Dr Ste 129
Sarasota, FL 34238-5439
Phone (732) 743-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425002452 FL Part B Supplier - Clinic/Group Practice 8426413568 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

2805 Fruitville Rd
Ste 250
Sarasota, FL 34237
Phone (732) 580-9929

8586 Potter Park Dr
Ste 129
Sarasota, FL 34238
Phone 7327438383 ext. 0

10 State Route 35
Red Bank, NJ 07701
Phone (732) 743-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1073268983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PATE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481749",
            "telephone_number": "732-580-9929",
            "fax_number": "732-671-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015902",
            "telephone_number": "732-743-8383",
            "fax_number": "732-671-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8586 Potter Park Dr Ste 129",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342385439",
            "country_code": "US",
            "telephone_number": "732-743-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROREHAB & SPEECH HEALERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "KEVLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-580-8219"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.