NPIMap

Organization Active NPI

Bridging the Gap Speech Services

  • Speech-Language Pathologist
  • Edison, NJ
National Provider Identifier
1427371376
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00610100 Issued in NJ
Legal business name
BRIDGING THE GAP SPEECH SERVICES
Practice address
70 Summer St
Edison, NJ 08820-2436
Phone
(732) 948-6015
NPI assigned
Mar 7, 2010
Last updated
Mar 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shanel FaganNPI 1629391859
Title
Director
Phone
(732) 948-6015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YS00610100 NJ Primary

Addresses

Primary practice location

70 Summer St
Edison, NJ 08820-2436

Mailing address

70 Summer St
Edison, NJ 08820-2436
Phone (732) 948-6015

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1427371376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SUMMER ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202436",
            "telephone_number": "732-948-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SUMMER ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202436",
            "telephone_number": "732-948-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "SHANEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-948-6015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00610100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; 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.