Rebecca Wax, MS-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14045343 Issued in NJ

Practice address

1488 Cedarwood Dr
Lakewood, NJ 08701-3807

Phone

(732) 363-6702

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rebecca Beren Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1083021406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 CEDARWOOD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013807",
            "telephone_number": "732-363-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 CEDARWOOD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013807",
            "telephone_number": "732-363-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAX",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "14045343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BEREN",
            "prefix": "MRS.",
            "credential": "MS-CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debora Warshavchik, APN
• Christine Monet Washington
• Evan Guy Wasserman, D.M.D.
• Sora Wasserman
• Esther Wax
• Frayda Waxman
• Meir Waxman, RN
• Yehoshua Waxman, DSW, LCSW
• We Care ABA Inc
• Rochel Weber, RD

• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.