Active NPI
Tara Edgette
- Speech-Language Pathologist
- Montclair, NJ
National Provider Identifier
1326476342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018361
- Practice address
- 36 Valley Rd
Apt. 512
Montclair, NJ 07042-2873 - Phone
- (352) 682-8665
- NPI assigned
- Oct 30, 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 | 018361 | NY | Primary |
Addresses
Primary practice location
36 Valley Rd
Apt. 512
Montclair, NJ 07042-2873
Mailing address
36 Valley Rd
Apt. 512
Montclair, NJ 07042-2873
Phone (352) 682-8665
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1326476342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 VALLEY RD",
"address_2": "APT. 512",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422873",
"telephone_number": "352-682-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 VALLEY RD",
"address_2": "APT. 512",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422873",
"telephone_number": "352-682-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGETTE",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.