Individual provider Active NPI

Sara Richt

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1467933846
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3116 Issued in NJ
Practice address
1074 Times Square Blvd
Lakewood, NJ 08701-5524
Phone
(347) 388-1093
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 TL-3116 NJ Primary

Addresses

Primary practice location

1074 Times Square Blvd
Lakewood, NJ 08701-5524

Mailing address

22 Newberry CT
Lakewood, NJ 08701-5402

Other practice location 1

1074 Times Square Blvd
Lakewood, NJ 08701-5524
Phone (347) 388-1093

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
TL-3116NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1467933846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NEWBERRY CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 TIMES SQUARE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015524",
            "telephone_number": "347-388-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1074 Times Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015524",
            "country_code": "US",
            "telephone_number": "347-388-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHT",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3116",
            "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 Aug 23, 2018; 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.