Individual provider Active NPI

Renee I Zegar

  • Speech-Language Pathologist
  • Blue Bell, PA
National Provider Identifier
1124290374
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006274L Issued in PA
Practice address
876 Parkwood Rd
Blue Bell, PA 19422-1243
Phone
(610) 275-2782
Fax
(610) 275-2783
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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 SL006274L PA Primary

Addresses

Primary practice location

876 Parkwood Rd
Blue Bell, PA 19422-1243

Mailing address

876 Parkwood Rd
Blue Bell, PA 19422-1243
Phone (610) 275-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL006274LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1124290374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 PARKWOOD RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221243",
            "telephone_number": "610-275-2782",
            "fax_number": "610-275-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 PARKWOOD RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221243",
            "telephone_number": "610-275-2782",
            "fax_number": "610-275-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGAR",
        "first_name": "RENEE",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006274L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.