Individual provider Active NPI

Kayla Madoff, M.S.ED CF-SLP

  • Speech-Language Pathologist
  • Red Bank, NJ
National Provider Identifier
1497467278
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3913 Issued in NJ
Practice address
4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155
Phone
(732) 639-1551
Fax
(732) 335-6759
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X TL-3913 NJ Primary

Addresses

Primary practice location

4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155

Mailing address

4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155
Phone (732) 639-1551

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-3913NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Birds Speech Therapy, LLC Single Specialty CurrentSince Dec 28, 2022 Accepting new patients

Locations

4 Hendrickson Ave
Ste 4
Red Bank, NJ 07701
Phone (732) 440-8389

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1497467278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOFF",
        "first_name": "KAYLA",
        "credential": "M.S.ED CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.