Marcia Neugebauer, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00899400 Issued in NJ

Practice address

19B Triumph CT
East Rutherford, NJ 07073-1147

Phone

(401) 499-6227

NPI assigned

Aug 4, 2020

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

State licenses

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1225648264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19B TRIUMPH CT",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731147",
            "telephone_number": "401-499-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19B TRIUMPH CT",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731147",
            "telephone_number": "401-499-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUGEBAUER",
        "first_name": "MARCIA",
        "name_prefix": "Mrs.",
        "credential": "CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00899400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molar Dental LLC
• Samuel Monanez, LCADC LCSW
• Maria Gabriela Mora, LCSW
• Anesa Mursalim
• Aleksandra Agnieszka Nedza
• New Jersey CVS Pharmacy LLC
• New Jersey Sports & Exposition Authority
• NJ Lifecare Innovation Home Care LLC
• Nurtured Roots Counseling New Jersey
• Ourrx Consulting LLC

• Speech-Language Pathologist in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.