Individual provider Active NPI

Kimberly Croson

  • Speech-Language Pathologist
  • Toms River, NJ
National Provider Identifier
1164966776
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00734900 Issued in NJ
Practice address
3 Plaza Dr Ste 12
Toms River, NJ 08757-3765
Phone
(732) 886-6996
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 41YS00734900 NJ Primary

Addresses

Primary practice location

3 Plaza Dr Ste 12
Toms River, NJ 08757-3765

Mailing address

28 Deborah LN
Howell, NJ 07731-3504
Phone (732) 513-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313000381 NJ Practitioner - Qualified Speech Language Pathologist 2062796022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adaptive Home Therapy, Inc.Group PAC ID 4284522772, 26 clinicians

Practice addresses (Care Compare)

3 Plaza Dr
Suite 12
Toms River, NJ 08757-3765
Phone (732) 886-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00734900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Home Therapy, Inc. CurrentSince Dec 6, 2016 Accepting new patients
Anil K Gupta MD PA PastSince Dec 6, 2016 Accepting new patients

Locations

3 Plaza Dr
Ste 12
Toms River, NJ 08757
Phone (732) 244-2299

Organizations & group practices 2

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1164966776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DEBORAH LN",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313504",
            "telephone_number": "732-513-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR STE 12",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573765",
            "telephone_number": "732-886-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00734900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.