Active NPI
Lisa Beth Landskroner, M.S. CCC-SLP
- Speech-Language Pathologist
- Freehold, NJ
National Provider Identifier
1427201854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014964-1
- Practice address
- 400 Fordham PL
Freehold, NJ 07728-5369 - Phone
- (732) 598-9186
- Fax
- (732) 303-1017
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 014964-1 | NY | Primary |
Addresses
Primary practice location
400 Fordham PL
Freehold, NJ 07728-5369
Mailing address
400 Fordham PL
Freehold, NJ 07728-5369
Phone (732) 598-9186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03669087 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014964-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1427201854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FORDHAM PL",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285369",
"telephone_number": "732-598-9186",
"fax_number": "732-303-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FORDHAM PL",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285369",
"telephone_number": "732-598-9186",
"fax_number": "732-303-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSKRONER",
"first_name": "LISA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014964-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03669087",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.