Individual provider Active NPI

Danielle Sorbello

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1437410123
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00454100 Issued in NJ
Practice address
761 River Ave
Suite D
Lakewood, NJ 08701-5200
Phone
(732) 833-3723
Fax
(888) 247-4390
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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 41YS00454100 NJ Primary

Addresses

Primary practice location

761 River Ave
Suite D
Lakewood, NJ 08701-5200

Mailing address

761 River Ave
Suite D
Lakewood, NJ 08701-5200
Phone (732) 833-3723

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

State licenses

LicenseStateTypeSpecialty
41YS00454100NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1437410123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 RIVER AVE",
            "address_2": "SUITE D",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015200",
            "telephone_number": "732-833-3723",
            "fax_number": "888-247-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 RIVER AVE",
            "address_2": "SUITE D",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015200",
            "telephone_number": "732-833-3723",
            "fax_number": "888-247-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORBELLO",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00454100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.