Individual provider Active NPI

Loralee Farren-Bermudez, M.A.

  • Speech-Language Pathologist
  • Sewell, NJ
National Provider Identifier
1417416934
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00455500 Issued in NJ
Practice address
137 Egg Harbor Rd Ste H
Sewell, NJ 08080-9404
Phone
(609) 221-4179
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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 41YS00455500 NJ Primary

Addresses

Primary practice location

137 Egg Harbor Rd Ste H
Sewell, NJ 08080-9404

Mailing address

205 Jamestown Blvd
Hammonton, NJ 08037-2111
Phone (609) 832-2820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000002 NJ Practitioner - Qualified Speech Language Pathologist 5698190437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Home Services of NJ LLCGroup PAC ID 9133551765, 45 clinicians

Practice addresses (Care Compare)

Englewood Cliffs, NJ 07632
Phone (718) 650-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Speech-Language Pathologist CurrentSince Nov 4, 2023 Accepting new patients
Link Home Services of NJ LLC CurrentSince Sep 1, 2020 Accepting new patients
Between the Lines: a Clinic Offering Reading, Speech Language, and Occ Speech-Language Pathologist PastSince Jul 24, 2022 Accepting new patients

Locations

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (866) 959-2846

Organizations & group practices 3

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1417416934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 JAMESTOWN BLVD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372111",
            "telephone_number": "609-832-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EGG HARBOR RD STE H",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809404",
            "telephone_number": "609-221-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARREN-BERMUDEZ",
        "first_name": "LORALEE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00455500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.