NPIMap

Organization Active NPI

Pediatric Rehabilitation Services, Inc.

  • Speech-Language Pathologist
  • Brick, NJ
National Provider Identifier
1235463423
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00108000 Issued in NJ
Legal business name
PEDIATRIC REHABILITATION SERVICES, INC.
Practice address
254 Brick Blvd
Suite 10
Brick, NJ 08723-7170
Phone
(732) 279-0600
Fax
(732) 255-5095
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Ms. Donna Paduano, M.A., CCC-SLP
Title
Director/President
Phone
(732) 279-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 41YS00108000 NJ Primary

Addresses

Primary practice location

254 Brick Blvd
Suite 10
Brick, NJ 08723-7170

Mailing address

254 Brick Blvd
Suite 10
Brick, NJ 08723-7170
Phone (732) 279-0600

National Provider Directory

National Provider Directory

Locations

254 Brick Blvd
Ste 10
Brick, NJ 08723
Phone (732) 279-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1235463423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BRICK BLVD",
            "address_2": "SUITE 10",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237170",
            "telephone_number": "732-279-0600",
            "fax_number": "732-255-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BRICK BLVD",
            "address_2": "SUITE 10",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237170",
            "telephone_number": "732-279-0600",
            "fax_number": "732-255-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "PADUANO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "732-279-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00108000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.