Active NPI
Fraida Aliza Gleiberman, SLP
- Speech-Language Pathologist
- Lakewood, NJ
National Provider Identifier
1558023515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TL3649
- Practice address
- 1525 Prospect St Ste 206
Lakewood, NJ 08701-4662 - Phone
- (198) 961-7413
- NPI assigned
- Oct 7, 2021
- 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 | TL3649 | NJ | Primary |
Addresses
Primary practice location
1525 Prospect St Ste 206
Lakewood, NJ 08701-4662
Mailing address
112 5TH St Apt 2
Lakewood, NJ 08701-3264
Phone (848) 525-3061
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
| License | State | Type | Specialty |
|---|---|---|---|
| TL3649 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1558023515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 5TH ST APT 2",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013264",
"telephone_number": "848-525-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 PROSPECT ST STE 206",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014662",
"telephone_number": "198-961-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEIBERMAN",
"first_name": "FRAIDA",
"middle_name": "ALIZA",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "TL3649",
"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 Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.