Active NPI
Sara Emily Burklow, MA, CCC-SLP
- Speech-Language Pathologist
- Mountain Lakes, NJ
National Provider Identifier
1225809031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01081100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01081100 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Ridgway Burklow Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Gab&Go LLC | Past | 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.
-
- Speech-Language Pathologist
- Mountain Lakes, NJ
- NPI 1609616382
-
- Hearing and Speech Clinic/Center
- Woodbridge, NJ
- NPI 1356060800
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.