Individual provider Active NPI

Leah Safer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Jackson, NJ
National Provider Identifier
1467710475
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00762200 Issued in NJ
Practice address
2 Stacy CT
Jackson, NJ 08527-2912
Phone
(732) 664-8874
Fax
(732) 612-1316
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 794081 NJ
Speech-Language Pathologist 235Z00000X 41YS00762200 NJ Primary

Addresses

Primary practice location

2 Stacy CT
Jackson, NJ 08527-2912

Mailing address

2 Stacy CT
Jackson, NJ 08527-2912
Phone (732) 664-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000342 NJ Practitioner - Qualified Speech Language Pathologist 4587897327 Reassigns benefits to 1 organization
Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7071SCMDMarriage & Family Therapist
41YS00762200NJMDSpeech-Language Pathologist
794081NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy World Inc. Speech-Language Pathologist CurrentSince Jun 20, 2022 Accepting new patients
Oncore Speech Therapy LLC Speech-Language Pathologist PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1467710475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STACY CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272912",
            "telephone_number": "732-664-8874",
            "fax_number": "732-612-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STACY CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272912",
            "telephone_number": "732-664-8874",
            "fax_number": "732-612-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFER",
        "first_name": "LEAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "794081",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00762200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.