Individual provider Active NPI

Jennifer C. Martin, MS, CCC-SLP

  • Speech-Language Pathologist
  • Englewood, NJ
National Provider Identifier
1235429044
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00687200 Issued in NJ
Practice address
333 Grand Ave
Englewood, NJ 07631-4356
Phone
(201) 541-4300
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 41YS00687200 NJ Primary

Addresses

Primary practice location

333 Grand Ave
Englewood, NJ 07631-4356

Mailing address

333 Grand Ave
Englewood, NJ 07631-4356
Phone (201) 541-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150127000044 NJ Practitioner - Qualified Speech Language Pathologist 9133443971 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V and S Rehabilitation Therapy Services LLCGroup PAC ID 6002224805, 5 clinicians
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Hackensack, NJ 07601
Phone (973) 420-6696

18 -01 Pollitt Dr
Fair Lawn, NJ 07410-2813
Phone (877) 407-3422

5 Boroline Rd
Saddle River, NJ 07458-2343
Phone (856) 861-3548

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00687200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Way Rehab Services CurrentSince Jan 31, 2023 Accepting new patients
V and S Rehabilitation Therapy Services, LLC CurrentSince Jan 11, 2022 Accepting new patients
Link Home Services of NJ LLC CurrentSince Dec 31, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Aug 15, 2023 Accepting new patients
Fox Rehabilitation Services Inc Speech-Language Pathologist CurrentSince Nov 16, 2014 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Aug 15, 2023 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

516 Sylvan Ave
Englewood Cliffs, NJ 07632

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 6

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1235429044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314356",
            "telephone_number": "201-541-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314356",
            "telephone_number": "201-541-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00687200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.