Active NPI
Jonathan Tomlin, M.S., CCC-SLP
- Speech-Language Pathologist
- Virginia Beach, VA
National Provider Identifier
1104201953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202007111
- Practice address
- 440 N Lynnhaven Rd
Virginia Beach, VA 23452-5806 - Phone
- (757) 431-8825
- NPI assigned
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202007111 | VA | Primary |
Addresses
Primary practice location
440 N Lynnhaven Rd
Virginia Beach, VA 23452-5806
Mailing address
2621 Penshurst Way
Virginia Beach, VA 23456-7851
Phone (434) 480-6452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 Atlantic Ave 2ND Floor
Lynbrook, NY 11563-3046
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1104201953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 PENSHURST WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234567851",
"telephone_number": "434-480-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N LYNNHAVEN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525806",
"telephone_number": "757-431-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202007111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.