Michael Robert Newberg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06718 Issued in MD

Practice address

29675 Point Lookout Rd
Mechanicsville, MD 20659-5240

Phone

(301) 884-4635

Fax

(301) 884-8937

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1548731763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45298 STARK DR",
            "city": "PINEY POINT",
            "state": "MD",
            "postal_code": "206743023",
            "telephone_number": "301-994-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29675 POINT LOOKOUT RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206595240",
            "telephone_number": "301-884-4635",
            "fax_number": "301-884-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERG",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Mechanicsville, MD
• Providers in Mechanicsville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.