Anatolia Azer
Individual provider Active NPI Speech-Language Pathologist · Warren, NJ
NPI 1093590622 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1093590622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS01213000 (NJ)
- Practice address
- 5 Boxwood Way
Warren, NJ 07059-6859 - Phone
- (908) 801-6425
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synaptic Rehabilitation LLC
Practice addresses (Care Compare)
5 Boxwood Way
Warren, NJ 07059-6859
Phone (908) 801-6425
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230918002102 | NJ | Practitioner - Qualified Speech Language Pathologist | 3274997788 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01213000 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Home Services of NJ LLC | Current |
Accepting new patients | |
| Ultracare Home Therapy Services, Inc. | Current |
Accepting new patients | |
| Synaptic Rehabilitation, LLC | Current |
Accepting new patients | |
| Bridgeway Care at Home, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Fox Rehabilitation Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Synaptic Rehab Bridgewater | Past |
Accepting new patients |
Locations
270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
516 Sylvan Ave
Englewood Cliffs, NJ 07632
666 Plainsboro Rd
Ste 2000C
Plainsboro, NJ 08536
Phone (609) 799-8400
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS01213000 | NJ | Yes |
Addresses
Primary practice location
5 Boxwood Way
Warren, NJ 07059-6859
Mailing address
5 Boxwood Way
Warren, NJ 07059-6859
Other providers in Warren, NJ
- Associated Orthopaedics
- Associated Retinal Consultants, LLC
- Associates in Infectious Diseases and Travel Medicine LLC
- Associates in Integrative Medicine, LLC
- Awaken Wellness, LLC
- Juan Baez
- Michael P Bagley
- Balance Psychiatry Services PC
- Susan Barasch
- James Baratta
All providers in Warren, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.