Prentgraf LTD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PRENTGRAF LTD

Practice address

700 Alexander Park Drive
Suite 101
Princeton, NJ 08540

Phone

(855) 274-9582

NPI assigned

Dec 5, 2019

Organization subpart

Yes

Parent organization

PRENTGRAF LTDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adrian Pellew

Title

Managing Director

Phone

(855) 274-9582

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• TalkPath Live Doing business as

Part of

Prentgraf LTD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlin Sandra Moore

  • Speech-Language Pathologist
  • Federal Way, WA
  • NPI 1497525620
  NPD
• Denise Russo, MSIS, MA, CCC-SLP

  • Speech-Language Pathologist
  • Troy, NY
  • NPI 1942391024
  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1376180679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1753",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "855-274-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ALEXANDER PARK DRIVE",
            "address_2": "SUITE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "855-274-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTGRAF LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRENTGRAF LTD",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "PELLEW",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "855-274-9582"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TalkPath Live",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TalkPath Live",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Powsner, LCSW
• Premier Brain and Spine LLC
• Premier Medical and Sports Rehabilitation LLC
• Premise Health of New Jersey Medical PC
• Premise Health of New Jersey Medical PC
• Sharon H Press, PHD
• Mark J Pressman, MD
• Prestige Oral Surgery LLC
• Princeton a Municipal Organization
• Princeton Acuhealth

• Speech-Language Pathologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.