Individual provider Active NPI

Lauren Matza

  • Speech-Language Pathologist
  • Suffern, NY
National Provider Identifier
1356824791
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023491-1 Issued in NY
Practice address
2 Paddock LN
Suffern, NY 10901-6300
Phone
(845) 300-5700
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 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 023491-1 NY Primary

Addresses

Primary practice location

2 Paddock LN
Suffern, NY 10901-6300

Mailing address

2 Paddock LN
Suffern, NY 10901-6300
Phone (845) 300-5700

Other practice location 1

30 Cragmere Rd
Airmont, NY 10901-7520
Phone (845) 357-1230 ext. 1144

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

State licenses

LicenseStateTypeSpecialty
023491-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1356824791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PADDOCK LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016300",
            "telephone_number": "845-300-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PADDOCK LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016300",
            "telephone_number": "845-300-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Cragmere Rd",
            "address_purpose": "LOCATION",
            "city": "Airmont",
            "state": "NY",
            "postal_code": "109017520",
            "country_code": "US",
            "telephone_number": "845-357-1230 x1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATZA",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023491-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.