Individual provider Active NPI

Miriam Chaitovsky, SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1487094447
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00484800 Issued in NJ
Practice address
5 Grant Ave
Lakewood, NJ 08701-5655
Phone
(732) 370-1740
NPI assigned
Jul 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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 41YS00484800 NJ Primary

Addresses

Primary practice location

5 Grant Ave
Lakewood, NJ 08701-5655

Mailing address

5 Grant Ave
Lakewood, NJ 08701-5655
Phone (732) 370-1740

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
41YS00484800NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Presidential Speech Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372896000000",
    "number": "1487094447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRANT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015655",
            "telephone_number": "732-370-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRANT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015655",
            "telephone_number": "732-370-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAITOVSKY",
        "first_name": "MIRIAM",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00484800",
            "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 Jul 4, 2013; 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.