Active NPI
Chana M Weiss, M.S.
- Speech-Language Pathologist
- Lakewood, NJ
National Provider Identifier
1477781789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017179-1
- Practice address
- 103 Colony Cir
Lakewood, NJ 08701-1403 - Phone
- (732) 370-6980
- NPI assigned
- Jun 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017179-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 41YS00546500 | NJ |
Addresses
Primary practice location
103 Colony Cir
Lakewood, NJ 08701-1403
Mailing address
103 Colony Cir
Lakewood, NJ 08701-1403
Phone (732) 370-6980
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00546500 | NJ | MD | Speech-Language Pathologist |
| 017179-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1477781789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COLONY CIR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011403",
"telephone_number": "732-370-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COLONY CIR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011403",
"telephone_number": "732-370-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "CHANA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017179-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00546500",
"primary": false
}
],
"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 Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.