Individual provider Active NPI

Rebecca Antab, MS

  • Speech-Language Pathologist
  • Matawan, NJ
National Provider Identifier
1386260305
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00995500 Issued in NJ
Practice address
400 Belchase Dr Ste 406
Matawan, NJ 07747-9760
Phone
(732) 851-6947
Fax
(732) 705-3329
NPI assigned
Jun 25, 2020
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 41YS00995500 NJ Primary

Addresses

Primary practice location

400 Belchase Dr Ste 406
Matawan, NJ 07747-9760

Mailing address

166 Throckmorton LN
Old Bridge, NJ 08857-2138

Other practice location 1

121 S Euclid Ave
Westfield, NJ 07090-2129
Phone (908) 232-2903

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 Science

State licenses

LicenseStateTypeSpecialty
41YS00995500NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Hearing Associates LLC Speech-Language Pathologist CurrentSince Jun 1, 2020 Accepting new patients
Hitting Milestones, LLC Speech-Language Pathologist PastSince Mar 12, 2023 Accepting new patients

Locations

121 S Euclid Ave
Westfield, NJ 07090
Phone (908) 232-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1386260305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR STE 406",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479760",
            "telephone_number": "732-851-6947",
            "fax_number": "732-705-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902129",
            "country_code": "US",
            "telephone_number": "908-232-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTAB",
        "first_name": "REBECCA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00995500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.