Active NPI
Bespoke Therapy & Care
- Hearing and Speech Clinic/Center
- Montclair, NJ
National Provider Identifier
1174359509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- BESPOKE THERAPY & CARE
- Practice address
- 109 Valley Rd
Montclair, NJ 07042-2322 - Phone
- (215) 439-2205
- NPI assigned
- Sep 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isra Shilad, CCC-SLP
- Title
- Manager
- Phone
- (215) 439-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
109 Valley Rd
Montclair, NJ 07042-2322
Mailing address
109 Valley Rd
Montclair, NJ 07042-2322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1174359509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422322",
"telephone_number": "215-439-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESPOKE THERAPY & CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "SHILAD",
"authorized_official_first_name": "ISRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "215-439-2205",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.