NPIMap

Organization Active NPI

Speech Start, LLC

  • Speech-Language Pathologist
  • Fair Haven, NJ
National Provider Identifier
1467098392
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH START, LLC
Practice address
21 Cedar Ave
Suite B1
Fair Haven, NJ 07704
Phone
(732) 888-3912
Fax
(732) 888-3916
NPI assigned
Nov 26, 2019
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Dr. Bernadette Erin Mullen, CCC-SLPDNPI 1457717464
Title
Owner/Operator
Phone
(732) 888-3912

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

21 Cedar Ave
Suite B1
Fair Haven, NJ 07704

Mailing address

82 Bethany Rd
Suite 1
Hazlet, NJ 07730
Phone (732) 888-3912

Other identifiers 1

IdentifierTypeStateIssuer
1679957997OtherGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address speechstrt@verizon.net

National Provider Directory

National Provider Directory

Locations

21 Cedar Ave
Ste B1
Fair Haven, NJ 07704
Phone 7328883912 ext. 00002

82 Bethany Rd
Ste 1
Hazlet, NJ 07730
Phone (732) 245-7299

120 E River Rd
Rumson, NJ 07760
Phone (732) 319-3949

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1467098392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BETHANY RD",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-888-3912",
            "fax_number": "732-888-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CEDAR AVE",
            "address_2": "SUITE B1",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "07704",
            "telephone_number": "732-888-3912",
            "fax_number": "732-888-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH START, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "732-888-3912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLPD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1679957997",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "speechstrt@verizon.net",
            "affiliation": "N",
            "address_1": "1 Bethany Rd",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Haven, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.