Individual provider Active NPI

Rebecca Grace Nesterwitz, MS CCC-SLP/L

  • Speech-Language Pathologist
  • Somerset, NJ
National Provider Identifier
1316413396
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00955400 Issued in NJ
Practice address
15 Dellwood LN
Somerset, NJ 08873-1551
Phone
(732) 545-4200
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 41YS00955400 NJ Primary

Addresses

Primary practice location

15 Dellwood LN
Somerset, NJ 08873-1551

Mailing address

109 Washington St Apt 2
Westfield, NJ 07090-2517
Phone (732) 966-7973

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00955400NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1316413396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WASHINGTON ST APT 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902517",
            "telephone_number": "732-966-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DELLWOOD LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731551",
            "telephone_number": "732-545-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTERWITZ",
        "first_name": "REBECCA",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "MS CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00955400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.