Individual provider Active NPI

Sara Rose Brogan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • West Creek, NJ
National Provider Identifier
1407404361
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01057200 Issued in NJ
Practice address
1064 S Main St
West Creek, NJ 08092-2912
Phone
(609) 488-2650
Fax
(609) 488-2651
NPI assigned
Sep 3, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 41YS01057200 NJ Primary

Addresses

Primary practice location

1064 S Main St
West Creek, NJ 08092-2912

Mailing address

5886 Route 9
Tuckerton, NJ 08087-3448
Phone (609) 342-4249

Other practice location 1

1361 Route 72 W
Manahawkin, NJ 08050-2402
Phone (609) 978-0600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sara.brogan@genesishcc.com
Direct Messaging Address sarabslp@speechpathologysolutions.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802000985 NJ Practitioner - Qualified Speech Language Pathologist 3971907791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Pathology Solutions, LLCGroup PAC ID 4082873799, 9 clinicians

Practice addresses (Care Compare)

1064 S Main St
BLDG 2C
West Creek, NJ 08092-2914
Phone (609) 488-2650

705 E Moss Mill Rd
Ridgewood SL at Smithville
Galloway Township, NJ 08205-4219
Phone (609) 378-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Solutions, LLC Speech-Language Pathologist CurrentSince Jul 12, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Aug 4, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Aug 4, 2025 Accepting new patients
Shore to Advance Therapy Services Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2101 State Route 34
Ste F
Wall Township, NJ 07719
Phone (732) 659-9536

1064 S Main St
West Creek, NJ 08092
Phone (609) 448-2650

1064 S Main St
Bldg 2C
West Creek, NJ 08092
Phone (609) 234-1796

Organizations & group practices 4

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1407404361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 ROUTE 9",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080873448",
            "telephone_number": "609-342-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 S MAIN ST",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080922912",
            "telephone_number": "609-488-2650",
            "fax_number": "609-488-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1361 Route 72 W",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502402",
            "country_code": "US",
            "telephone_number": "609-978-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "SARA",
        "middle_name": "ROSE",
        "credential": "M.S.  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01057200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.brogan@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "SLP Genesis Empolyee",
            "address_1": "1361 Route 72 W",
            "city": "Manahawkin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080502417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarabslp@speechpathologysolutions.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1064 S Main St",
            "city": "West Creek",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080922912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Creek, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.