Individual provider Active NPI

Kristina Marie Wojewoda

  • Speech-Language Pathologist
  • Manalapan, NJ
National Provider Identifier
1255887063
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00830800 Issued in NJ
Practice address
9 Cornell PL
Manalapan, NJ 07726-3601
Phone
(732) 567-2767
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 41YS00830800 NJ Primary

Addresses

Primary practice location

9 Cornell PL
Manalapan, NJ 07726-3601

Mailing address

9 Cornell PL
Manalapan, NJ 07726-3601
Phone (732) 567-2767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917002379 NJ Practitioner - Qualified Speech Language Pathologist 3779980719 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00830800NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients
Coastal Home Rehabilitation, LLC CurrentSince Aug 31, 2021 Accepting new patients
Fox Rehabilitation Services Inc Speech-Language Pathologist CurrentSince Oct 1, 2021 Accepting new patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince Sep 20, 2021 Accepting new patients
Patient Care Specialty Group PC Speech-Language Pathologist CurrentSince Mar 20, 2024 Accepting new patients
Attain Physical Therapy CurrentSince Aug 29, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Sep 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Sep 1, 2023 Accepting new patients
Link Home Services of NJ LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

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

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

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

516 Sylvan Ave
Englewood Cliffs, NJ 07632

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

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1255887063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CORNELL PL",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263601",
            "telephone_number": "732-567-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CORNELL PL",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263601",
            "telephone_number": "732-567-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJEWODA",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00830800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.