Individual provider Active NPI

Robert Kevlin

  • Speech-Language Pathologist
  • Middletown, NJ
National Provider Identifier
1174905947
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00666000 Issued in NJ
Practice address
65 Pate Dr
Middletown, NJ 07748-1749
Phone
(732) 580-8219
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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 41YS00666000 NJ Primary

Addresses

Primary practice location

65 Pate Dr
Middletown, NJ 07748-1749

Mailing address

65 Pate Dr
Middletown, NJ 07748-1749
Phone (732) 580-8219

Other practice location 1

8586 Potter Park Dr Ste 129
Sarasota, FL 34238-5439
Phone (732) 743-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180705000010 NJ Practitioner - Qualified Speech Language Pathologist 3072869031 Reassigns benefits to 4 organizations
Practice locations: Red Bank, NJ
I20230426000433 FL Practitioner - Qualified Speech Language Pathologist 3072869031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2805 Fruitville Rd
Suite 250
Sarasota, FL 34237-5318
Phone (732) 580-9929

65 Pate Dr
Middletown, NJ 07748-1749

8586 Potter Park Dr
Suite 129
Sarasota, FL 34238-5439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00666000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC CurrentSince Jul 15, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 8, 2020 Accepting new patients
Link Home Services of NJ LLC CurrentSince Sep 1, 2020 Accepting new patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince Jun 14, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 8, 2020 Accepting new patients
Neurorehab & Speech Healers, LLC Speech-Language Pathologist CurrentSince Dec 16, 2022 Accepting new patients

Locations

8586 Potter Park Dr
Ste 129
Sarasota, FL 34238
Phone 7327438383 ext. 0

2805 Fruitville Rd
Ste 250
Sarasota, FL 34237
Phone (732) 580-9929

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

535 Mountain Ave
New Providence, NJ 07974
Phone (908) 312-5315

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 6

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1174905947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PATE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481749",
            "telephone_number": "732-580-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PATE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481749",
            "telephone_number": "732-580-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8586 Potter Park Dr Ste 129",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342385439",
            "country_code": "US",
            "telephone_number": "732-743-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEVLIN",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00666000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.