Individual provider Active NPI

Gina M Bisogna

  • Speech-Language Pathologist
  • Freehold, NJ
National Provider Identifier
1235820895
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00741900 Issued in NJ
Practice address
15 Leiden Rd
Freehold, NJ 07728-8231
Phone
(646) 732-9417
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 41YS00741900 NJ Primary

Addresses

Primary practice location

15 Leiden Rd
Freehold, NJ 07728-8231

Mailing address

15 Leiden Rd
Freehold, NJ 07728-8231
Phone (646) 732-9417

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

LicenseStateTypeSpecialty
41YS00741900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fun Time Therapy Too Speech-Language Pathologist CurrentSince Mar 31, 2024 Accepting new patients

Locations

569 Abbington Dr
Ste H
East Windsor, NJ 08520
Phone (609) 301-0220

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1235820895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LEIDEN RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288231",
            "telephone_number": "646-732-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LEIDEN RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288231",
            "telephone_number": "646-732-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISOGNA",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00741900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.