Awol

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AWOL

Practice address

25 Dickinson Rd
Kendall Park, NJ 08824-1844

Phone

(732) 609-7671

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Ashley Woller, MA, CCC-SLP, TSSLDNPI 1821681263

Title

Speech Language Pathologist

Phone

(732) 609-7671

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Woller, M.A., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Bronx, NY
  • NPI 1821681263
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1194543728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DICKINSON RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241844",
            "telephone_number": "732-609-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DICKINSON RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241844",
            "telephone_number": "732-609-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 W Fort Lee Rd Apt 3208",
            "address_purpose": "LOCATION",
            "city": "Bogota",
            "state": "NJ",
            "postal_code": "076031554",
            "country_code": "US",
            "telephone_number": "732-609-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AWOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "WOLLER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-609-7671",
        "authorized_official_credential": "MA, CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apluscare, LLC
• Apluscare, LLC
• Ateam Solutions LLC
• Kevin Atkinson
• Michael F. Atzert, PTA
• Suresh Babu, PT, DPT, MS
• Back & Body Rehabilitation LLC
• Back to Balance LLC
• Simran Bains
• Prashant Thakur Bakhru, M.D.

• Early Intervention Provider Agency in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.