Active NPI
Kathleen Dilorenzo, MS CCC-SLP
- Speech-Language Pathologist
- Freehold, NJ
National Provider Identifier
1306186630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00196200
- Practice address
- 4257 Route 9 N
BLDG. 6
Freehold, NJ 07728-8310 - Phone
- (732) 303-9660
- Fax
- (732) 303-1810
- NPI assigned
- Feb 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00196200 | NJ | Primary |
Addresses
Primary practice location
4257 Route 9 N
BLDG. 6
Freehold, NJ 07728-8310
Mailing address
4257 Route 9 N
BLDG. 6
Freehold, NJ 07728-8310
Phone (732) 303-9660
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00196200 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill Gordon, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Jamie Lantz, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing Instrument Specialist
- Freehold, NJ
- NPI 1588713473
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361577600000",
"number": "1306186630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4257 ROUTE 9 N",
"address_2": "BLDG. 6",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288310",
"telephone_number": "732-303-9660",
"fax_number": "732-303-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4257 ROUTE 9 N",
"address_2": "BLDG. 6",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288310",
"telephone_number": "732-303-9660",
"fax_number": "732-303-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILORENZO",
"first_name": "KATHLEEN",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-23",
"last_updated": "2013-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00196200",
"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 Feb 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.