Active NPI
Gezime Djonovic
- Speech-Language Pathologist
- Lincoln Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00774800
- Practice address
- 59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772 - Phone
- (201) 675-3396
- NPI assigned
- Jun 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30003391 | NC | |
| Speech-Language Pathologist | 235Z00000X | 41YS00774800 | NJ | Primary |
Addresses
Primary practice location
59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772
Mailing address
59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772
Phone (201) 675-3396
Other practice location 1
103 Kilmayne Dr Ste A-7
Cary, NC 27511-4425
Phone (919) 885-3411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30003391 | NC | MD | Speech-Language Pathologist |
| 41YS00774800 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
103 Kilmayne Dr
Ste A7
Cary, NC 27511
Phone (919) 885-3411
1870 Route 27
Ste 1B
Edison, NJ 08817
Phone (201) 660-2227
59 Beaverbrook Rd
Ste 303C
Lincoln Park, NJ 07035
Phone (201) 675-3396
Organizations & group practices 1
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
- Lincoln Park, NJ
- NPI 1932732112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1235543547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BEAVERBROOK RD STE 303C",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351772",
"telephone_number": "201-675-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 BEAVERBROOK RD STE 303C",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351772",
"telephone_number": "201-675-3396"
}
],
"practiceLocations": [
{
"address_1": "103 Kilmayne Dr Ste A-7",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275114425",
"country_code": "US",
"telephone_number": "919-885-3411",
"fax_number": "973-646-8973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DJONOVIC",
"first_name": "GEZIME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003391",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00774800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.