Lauren Hillary Raivetz, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00434600 Issued in NJ

Practice address

207 E 84TH St
Suite 209
New York, NY 10028-2972

Phone

(917) 464-5601

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1174777619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 HAMILTON AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403942",
            "telephone_number": "160-948-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 84TH ST",
            "address_2": "SUITE 209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282972",
            "telephone_number": "917-464-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIVETZ",
        "first_name": "LAUREN",
        "middle_name": "HILLARY",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00434600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Valentine Raiteri, MD
• Fumi Matsuki Raith, LCSW
• Ravi Bhavesh Raithatha, OD
• Roheen Raithatha, M.D.
• Halit Raitses, LAC
• Claire Raizen
• Pamela Susan Raizman, PH.D.
• Gayatri Raj Ghosh, MD
• Micheal Herswin Raj, M.D.
• Muruga Raj, MD

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.