Organization Active NPI

Speech Skills Group

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1538519053
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH SKILLS GROUP
Practice address
46 Saint Nicholas Ave
Lakewood, NJ 08701-3005
Phone
(908) 247-1368
Fax
(732) 415-4415
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Amyela P SegalNPI 1396195814
Title
SLP, Owner
Phone
(908) 247-1368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

46 Saint Nicholas Ave
Lakewood, NJ 08701-3005

Mailing address

46 Saint Nicholas Ave
Lakewood, NJ 08701-3005
Phone (908) 247-1368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1538519053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SAINT NICHOLAS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013005",
            "telephone_number": "908-247-1368",
            "fax_number": "732-415-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SAINT NICHOLAS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013005",
            "telephone_number": "908-247-1368",
            "fax_number": "732-415-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SKILLS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "AMYELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SLP, OWNER",
        "authorized_official_telephone_number": "908-247-1368"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "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 Jun 15, 2016; 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.