Organization Active NPI

Journey Beyond Speech Pathology Services, LLC

  • Hearing and Speech Clinic/Center
  • Englewood, NJ
National Provider Identifier
1215520002
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
JOURNEY BEYOND SPEECH PATHOLOGY SERVICES, LLC
Practice address
185 E Palisade Ave Apt D6A
Englewood, NJ 07631-3166
Phone
(718) 813-0219
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Jeanette Baj
Title
Owner
Phone
(718) 813-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

185 E Palisade Ave Apt D6A
Englewood, NJ 07631-3166

Mailing address

185 E Palisade Ave Apt D6A
Englewood, NJ 07631-3166

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WEBPT Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1215520002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E PALISADE AVE APT D6A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E PALISADE AVE APT D6A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313166",
            "telephone_number": "718-813-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY BEYOND SPEECH PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "BAJ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-813-0219"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEBPT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 E Palisade Ave Apt D6A",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076313166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.