Active NPI
Katherine a Malmrose Ms CCC-SLP
- Speech-Language Pathologist
- Hackensack, NJ
National Provider Identifier
1417457011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00452800
- Legal business name
- KATHERINE A MALMROSE MS CCC-SLP
- Practice address
- 160 Overlook Ave Ste 1a
Hackensack, NJ 07601-2285 - Phone
- (201) 230-5607
- NPI assigned
- Feb 20, 2018
- Last updated
- Feb 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine A Malmrose, MS CCC-SLP
- Title
- Owner
- Phone
- (973) 616-7338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00452800 | NJ | Primary |
Addresses
Primary practice location
160 Overlook Ave Ste 1a
Hackensack, NJ 07601-2285
Mailing address
160 Overlook Ave Apt 17E1
Hackensack, NJ 07601-2232
Phone (201) 230-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75 Greenwood Lake Tpke
Ringwood, NJ 07456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Hackensack, NJ
- NPI 1114458437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1417457011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 OVERLOOK AVE APT 17E1",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012232",
"telephone_number": "201-230-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 OVERLOOK AVE STE 1A",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012285",
"telephone_number": "201-230-5607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE A MALMROSE MS CCC-SLP",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "MALMROSE",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-616-7338",
"authorized_official_credential": "MS CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00452800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.