Organization Active NPI

Cornerstone Speech and Language

  • Speech-Language Pathologist
  • Sea Girt, NJ
National Provider Identifier
1235476979
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
YSO3784 Issued in NJ
Legal business name
CORNERSTONE SPEECH AND LANGUAGE
Practice address
2130 Highway 35
Suite 311
Sea Girt, NJ 08750
Phone
(732) 800-3001
Fax
(732) 800-3002
NPI assigned
Jan 15, 2013
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Mrs. Carol Krakower, M.A. CCC-SLPNPI 1003901588
Title
Owner/Speech Pathologist
Phone
(732) 800-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X YSO3784 NJ Primary

Addresses

Primary practice location

2130 Highway 35
Suite 311
Sea Girt, NJ 08750

Mailing address

2130 Highway 35
Suite 311
Sea Girt, NJ 08750
Phone (732) 800-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000163 NJ Part B Supplier - Clinic/Group Practice 8123310745 Receives reassigned benefits from 1 practitioner
Practice locations: Wall, NJ

National Provider Directory

National Provider Directory

Locations

2130 Highway 35
Ste 311
Sea Girt, NJ 08750
Phone (732) 800-3001

1540 State Route 138
Ste 101
Wall, NJ 07719
Phone (732) 280-9685

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1235476979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "SUITE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "SUITE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "KRAKOWER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "732-800-3001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YSO3784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.