Organization Active NPI

Core Therapy LLC

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1215420666
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CORE THERAPY LLC
Practice address
293 Nowlan PL
Lakewood, NJ 08701-3435
Phone
(347) 669-6080
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Mr. Elhanan Reuven
Title
Ceo
Phone
(917) 796-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

293 Nowlan PL
Lakewood, NJ 08701-3435

Mailing address

293 Nowlan PL
Lakewood, NJ 08701-3435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1215420666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 NOWLAN PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 NOWLAN PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013435",
            "telephone_number": "347-669-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "REUVEN",
        "authorized_official_first_name": "ELHANAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-796-2769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.