Beatrice Zdorovyak, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18.007512 Issued in CT

Practice address

22 E Fairmount Ave
Maywood, NJ 07607-2110

Phone

(973) 902-4675

NPI assigned

Sep 7, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Therapy Plus LLC

  • Hearing and Speech Clinic/Center
  • Glen Rock, NJ
  • NPI 1841670684
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1164208708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 HIGH RIDGE RD STE 290",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051203",
            "telephone_number": "203-490-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E FAIRMOUNT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072110",
            "telephone_number": "973-902-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDOROVYAK",
        "first_name": "BEATRICE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01138000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "18.007512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wright, MD
• Emily Yan, PHARM D
• Qingyou Yan, DDS
• Yom Tov Convalescent Center, Inc. (Maywood Center for Health & Rehabilitation)
• Janet Han Yueh, MD
• Roumaissa Zouai

• Speech-Language Pathologist in Maywood, NJ
• Providers in Maywood, 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 25, 2023; 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.