Active NPI
Bernadette Erin Mullen, MA, CCC-SLP
- Speech-Language Pathologist
- Hazlet, NJ
National Provider Identifier
1457717464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YSOO197000
- Practice address
- 1 Bethany Rd
Building 5 Suite 60
Hazlet, NJ 07730-1663 - Phone
- (732) 888-3912
- Fax
- (732) 999-3916
- NPI assigned
- Jan 6, 2016
- 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 | 41YSOO197000 | NJ | Primary |
Addresses
Primary practice location
1 Bethany Rd
Building 5 Suite 60
Hazlet, NJ 07730-1663
Mailing address
1 Bethany Rd
Building 5 Suite 60
Hazlet, NJ 07730-1663
Phone (732) 888-3912
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YSOO197000 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Start, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Fair Haven, NJ
- NPI 1679957997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1457717464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BETHANY RD",
"address_2": "BUILDING 5 SUITE 60",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301663",
"telephone_number": "732-888-3912",
"fax_number": "732-999-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BETHANY RD",
"address_2": "BUILDING 5 SUITE 60",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301663",
"telephone_number": "732-888-3912",
"fax_number": "732-999-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "BERNADETTE",
"middle_name": "ERIN",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YSOO197000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.