Pediatric Speech-Language Services, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

41YS00421900 Issued in NJ

Legal business name

PEDIATRIC SPEECH-LANGUAGE SERVICES, LLC

Practice address

547 E Broad St
Westfield, NJ 07090-2107

Phone

(908) 232-5501

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Shankle

Title

Director

Phone

(908) 232-5501

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Speech-Language Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Speech-Language Services, LLC

  • Speech-Language Pathologist
  • Westfield, NJ
  • NPI 1427395227
  NPD tax ID

Locations

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1295028785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-232-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-232-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH-LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-232-5501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NJ",
            "license": "41YS00421900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Litwin Paul, M.A., CCC-SLP
• Lorchesca Paul
• Danielky Paulino
• Pediatric Advantage
• Pediatric Associates of Westfield
• Pediatric Speech-Language Services, LLC
• Manuela G Pedra-Nobre, M.D.
• Carol M Pedro
• Sam Peguero
• Lynne Penk, MA-CCC-S

• Hearing and Speech Clinic/Center in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Hearing and Speech Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.