Individual provider Active NPI

Katherine Malmrose, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hackensack, NJ
National Provider Identifier
1114458437
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00452800 Issued in NJ
Practice address
160 Overlook Ave
Hackensack, NJ 07601-2207
Phone
(201) 230-5607
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00452800 NJ Primary

Addresses

Primary practice location

160 Overlook Ave
Hackensack, NJ 07601-2207

Mailing address

160 Overlook Ave
Hackensack, NJ 07601-2207
Phone (201) 230-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180328000358 NJ Practitioner - Qualified Speech Language Pathologist 4587926738 Reassigns benefits to 1 organization
I20200721000361 NY Practitioner - Qualified Speech Language Pathologist 4587926738 Practice locations: Saugerties, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 Overlook Ave
1A
Hackensack, NJ 07601-2285

188 Serenity Dr
Saugerties, NY 12477
Phone (201) 230-5607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine a Malmrose Ms CCC-SLP Speech-Language Pathologist CurrentSince Mar 1, 2018 Accepting new patients

Locations

160 Overlook Ave
Ste 1A
Hackensack, NJ 07601
Phone (201) 230-5607

75 Greenwood Lake Tpke
Ringwood, NJ 07456

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1114458437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012207",
            "telephone_number": "201-230-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012207",
            "telephone_number": "201-230-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMROSE",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00452800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.