Individual provider Active NPI

Joshua Smith, M.A., CCC-SLP

  • Speech-Language Pathologist
  • West Windsor, NJ
National Provider Identifier
1316192479
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010789-1 Issued in NY
Practice address
113 Windsor Pond Rd
West Windsor, NJ 08550-3278
Phone
(917) 903-3832
Fax
(609) 799-6772
NPI assigned
Nov 17, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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 010789-1 NY Primary

Addresses

Primary practice location

113 Windsor Pond Rd
West Windsor, NJ 08550-3278

Mailing address

113 Windsor Pond Rd
West Windsor, NJ 08550-3278
Phone (917) 903-3832

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 Arts

State licenses

LicenseStateTypeSpecialty
010789-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1316192479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WINDSOR POND RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503278",
            "telephone_number": "917-903-3832",
            "fax_number": "609-799-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WINDSOR POND RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503278",
            "telephone_number": "917-903-3832",
            "fax_number": "609-799-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010789-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.