Active NPI
Speak Up Ft
- Speech-Language Pathologist
- Lakewood, NJ
National Provider Identifier
1093395634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEAK UP FT
- Practice address
- 295 Dewey Ave
Lakewood, NJ 08701-3567 - Phone
- (732) 370-7885
- NPI assigned
- Apr 8, 2021
- Last updated
- Apr 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frayda Waxman
- Title
- Owner
- Phone
- (732) 370-7885
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
295 Dewey Ave
Lakewood, NJ 08701-3567
Mailing address
295 Dewey Ave
Lakewood, NJ 08701-3567
Phone (732) 370-7885
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1093395634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 DEWEY AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013567",
"telephone_number": "732-370-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 DEWEY AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013567",
"telephone_number": "732-370-7885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAK UP FT",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "WAXMAN",
"authorized_official_first_name": "FRAYDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-370-7885"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gmail.com",
"affiliation": "N",
"address_1": "295 Dewey Ave",
"city": "Lakewood",
"state": "NJ",
"country_code": "US",
"postal_code": "087013567",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.