Colette Euksuzian, MA CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TL-4358 Issued in NJ

Practice address

1064 S Main St BLDG 2C
West Creek, NJ 08092-2914

Phone

(609) 488-2650

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Speech Pathology Solutions, LLC

  • Speech-Language Pathologist
  • West Creek, NJ
  • NPI 1588930283
  Medicare reassignment NPD

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1093579013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 SUFFOLK PL",
            "city": "HARVEY CEDARS",
            "state": "NJ",
            "postal_code": "080085880",
            "telephone_number": "856-298-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 S MAIN ST BLDG 2C",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080922914",
            "telephone_number": "609-488-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 NJ-34 South",
            "address_purpose": "LOCATION",
            "city": "Wall",
            "state": "NJ",
            "postal_code": "07719",
            "country_code": "US",
            "telephone_number": "732-659-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUKSUZIAN",
        "first_name": "COLETTE",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Combs
• Karen L Cooney, MA, CHHC
• Kristen Damm
• Steve W Damon
• Marc Dinapoli
• Amanda Eursery
• Family Promise of the Jersey Shore
• Doreen Ferraro
• G. Hoegler Counseling LLC
• Madison Gates

• Speech-Language Pathologist in West Creek, NJ
• Providers in West Creek, 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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.