Individual provider Active NPI

Rivkah Klugman, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1073901633
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00619600 Issued in NJ
Practice address
150 James St
Suite 202
Lakewood, NJ 08701-4101
Phone
(732) 276-5593
Fax
(732) 377-5484
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 41YS00619600 NJ Primary

Addresses

Primary practice location

150 James St
Suite 202
Lakewood, NJ 08701-4101

Mailing address

150 James St
Suite 202
Lakewood, NJ 08701-4101
Phone (732) 276-5593

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS00619600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1073901633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JAMES ST",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-276-5593",
            "fax_number": "732-377-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JAMES ST",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-276-5593",
            "fax_number": "732-377-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGMAN",
        "first_name": "RIVKAH",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00619600",
            "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 Jan 6, 2015; 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.