Organization Active NPI

BCK Speech & Language Resources LLC

  • Speech-Language Pathologist
  • Branchburg, NJ
National Provider Identifier
1104544626
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BCK SPEECH & LANGUAGE RESOURCES LLC
Practice address
221 Johns LN
Branchburg, NJ 08853-4094
Phone
(908) 948-0176
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Kristen Fabriczi, M.A., CCC-SLPNPI 1083374268
Title
SLP Owner
Phone
(908) 948-0176

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

221 Johns LN
Branchburg, NJ 08853-4094

Mailing address

3923 Nottingham Way
Hamilton, NJ 08690-3805
Phone (908) 948-0176

Other practice location 1

3923 Nottingham Way
Hamilton, NJ 08690-3805
Phone (908) 948-0176

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1104544626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 NOTTINGHAM WAY",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903805",
            "telephone_number": "908-948-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JOHNS LN",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088534094",
            "telephone_number": "908-948-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3923 Nottingham Way",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086903805",
            "country_code": "US",
            "telephone_number": "908-948-0176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BCK SPEECH & LANGUAGE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "FABRICZI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SLP OWNER",
        "authorized_official_telephone_number": "908-948-0176",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.