Robert Eric Waldron, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00641700 Issued in NJ

Practice address

29 Jefferson PL
Montvale, NJ 07645-2338

Phone

(201) 264-4657

Fax

(201) 307-8847

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585
  Medicare reassignment NPD
• Pascack Valley Speech and Language Services

  • Speech-Language Pathologist
  • Montvale, NJ
  • NPI 1053608596
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1437446978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JEFFERSON PL",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452338",
            "telephone_number": "201-264-4657",
            "fax_number": "201-307-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JEFFERSON PL",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452338",
            "telephone_number": "201-264-4657",
            "fax_number": "201-307-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "ROBERT",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00641700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Vitovska, FNP
• Vivid Wellness
• Joseph John Voelkel, R.PH.
• Sonia Wadhwa, RPH
• Waldbaum, Inc.
• Rui Wang
• Warby Parker Inc.
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #105)
• Bari Weissman, FNP-BC
• Wohl Chiropractic LLC

• Speech-Language Pathologist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.