Bergen Pediatric Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00541700 Issued in NJ

Legal business name

BERGEN PEDIATRIC SPEECH THERAPY

Practice address

354 Old Hook Rd.
LL-1
Westwood, NJ 07675

Phone

(201) 722-4700

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Moran-Ronan, MS-CCC

Title

Speech Pathologist

Phone

(201) 722-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1487078507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD.",
            "address_2": "LL-1",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-722-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD.",
            "address_2": "LL-1",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-722-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PEDIATRIC SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "MORAN-RONAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "201-722-4700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00541700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bente, DC
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• Bergen Bariatric and Surgical Solutions PC
• Bergen Community Health Care
• Bergen County Center for Educational & Psychological Services, LLC
• Bergen Pediatric Therapy Center
• Bergen Periodontic Assoc LLC
• Nisha Bhatt, PT, MS
• Glen M Bianchi, MD
• Nicholas Joseph Biancola Jr., MSW., LCSW

• Speech-Language Pathologist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.