Pediatric Language Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC LANGUAGE CENTER

Practice address

2460 Lemoine Ave Ste 400
Fort Lee, NJ 07024-6210

Phone

(201) 970-1080

NPI assigned

Sep 9, 2018

Last updated

Sep 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luz Maria Amigo, MA, CCC-SLPNPI 1134492044

Title

SLP

Phone

(201) 970-1080

Specialties & licenses 1

Addresses

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.

• Luz Maria Amigo, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Fort Lee, NJ
  • NPI 1134492044
  Authorized official Same address or phone

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1114400843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 400",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-331-6880",
            "fax_number": "201-944-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 400",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-970-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "AMIGO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "201-970-1080",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Miran Park, L.AC.
• Yeji Park
• Yongtack Park
• Khimiya M Paryani, D.M.D
• Mahrshi Kiritkumar Patel, PTA
• Jacqueline Pena
• Pennreach
• Pennreach
• Pennreach
• Pennreach

• Speech-Language Pathologist in Fort Lee, NJ
• Providers in Fort Lee, 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 Sep 2, 2019; 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.