Individual provider Active NPI

Amy Rosen

  • Speech-Language Pathologist
  • Phillipsburg, NJ
National Provider Identifier
1124826607
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-4720 Issued in NJ
Practice address
755 Memorial Pkwy Ste 307
Phillipsburg, NJ 08865-2788
Phone
(908) 847-6756
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 TL-4720 NJ Primary

Addresses

Primary practice location

755 Memorial Pkwy Ste 307
Phillipsburg, NJ 08865-2788

Mailing address

12 Evergreen Rd
Flemington, NJ 08822-3193

Other practice location 1

315 State Route 31 S
Washington, NJ 07882-4069
Phone (908) 847-3200

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
TL-4720NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1124826607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EVERGREEN RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088223193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 307",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652788",
            "telephone_number": "908-847-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 State Route 31 S",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NJ",
            "postal_code": "078824069",
            "country_code": "US",
            "telephone_number": "908-847-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-4720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.