Individual provider Active NPI

Sara Emily Burklow, MA, CCC-SLP

  • Speech-Language Pathologist
  • Mountain Lakes, NJ
National Provider Identifier
1225809031
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01081100 Issued in NJ
Practice address
115 Route 46 Ste B11
Mountain Lakes, NJ 07046-1656
Phone
(609) 920-2351
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 41YS01081100 NJ Primary

Addresses

Primary practice location

115 Route 46 Ste B11
Mountain Lakes, NJ 07046-1656

Mailing address

1403 Bedford Dr
Pompton Plains, NJ 07444-1162
Phone (609) 312-6520

Other practice location 1

530 Rahway Avenue
2nd floor
Woodbridge, NJ 07095
Phone (732) 800-8714

Other names 1

  • Sara Emily Ridgway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS01081100NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Ridgway Burklow Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients
Gab&Go LLC PastSince Jan 1, 2024 Accepting new patients

Locations

115 US Highway 46 W
Ste B11
Mountain Lakes, NJ 07046
Phone (609) 920-2351

Organizations & group practices 2

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1225809031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BEDFORD DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441162",
            "telephone_number": "609-312-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROUTE 46 STE B11",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461656",
            "telephone_number": "609-920-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Rahway Avenue",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "country_code": "US",
            "telephone_number": "732-800-8714",
            "fax_number": "732-750-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKLOW",
        "first_name": "SARA",
        "middle_name": "EMILY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01081100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RIDGWAY",
            "middle_name": "EMILY",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.