NPIMap

Organization Active NPI

Innovation Speech and Language Therapy LLC

  • Speech-Language Pathologist
  • West Long Branch, NJ
National Provider Identifier
1295090843
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00412000 Issued in NJ
Legal business name
INNOVATION SPEECH AND LANGUAGE THERAPY LLC
Practice address
7 Forest St
West Long Branch, NJ 07764-1515
Phone
(732) 822-5140
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Mrs. Anna Farro, M.A., CCC-SLPNPI 1225317852
Title
Speech-Language Pathologist
Phone
(732) 822-5140

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 41YS00412000 NJ Primary

Addresses

Primary practice location

7 Forest St
West Long Branch, NJ 07764-1515

Mailing address

7 Forest St
West Long Branch, NJ 07764-1515
Phone (732) 822-5140

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1295090843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FOREST ST",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641515",
            "telephone_number": "732-822-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FOREST ST",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641515",
            "telephone_number": "732-822-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION SPEECH AND LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "FARRO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-822-5140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00412000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.