Active NPI
Angela Prasad
- Speech-Language Pathologist
- Rockaway, NJ
National Provider Identifier
1538599576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00624000
- Practice address
- 3 Chandler Ter
Rockaway, NJ 07866-4529 - Phone
- (973) 148-4066
- NPI assigned
- Nov 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00624000 | NJ | Primary |
Addresses
Primary practice location
3 Chandler Ter
Rockaway, NJ 07866-4529
Mailing address
3 Chandler Ter
Rockaway, NJ 07866-4529
Phone (973) 814-4066
Other practice location 1
118 Main St
Succasunna, NJ 07876-1385
Phone (973) 584-4000
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Vista Health Care Staffing, LLC | 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.
-
- Occupational Therapist
- Lodi, NJ
- NPI 1003211152
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1538599576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHANDLER TER",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664529",
"telephone_number": "973-814-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CHANDLER TER",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664529",
"telephone_number": "973-148-4066"
}
],
"practiceLocations": [
{
"address_1": "118 Main St",
"address_purpose": "LOCATION",
"city": "Succasunna",
"state": "NJ",
"postal_code": "078761385",
"country_code": "US",
"telephone_number": "973-584-4000",
"fax_number": "973-933-4510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRASAD",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00624000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.