Rebecca Y Tam, M.S. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020621 Issued in NY

Practice address

16 Castle Dr
Berkeley Heights, NJ 07922-1537

Phone

(832) 978-6808

NPI assigned

Dec 22, 2011

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1558630327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CASTLE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221537",
            "telephone_number": "832-978-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CASTLE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221537",
            "telephone_number": "832-978-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "REBECCA",
        "middle_name": "Y",
        "name_prefix": "Miss",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Christopher Suominen, MD
• Anthony Surace, MD
• Tiffani Swanda
• Aida Swon, LCSW
• Faraz Syed, DO
• William A Tansey, MD
• Stacey Tavel
• Donna Davis Templeton, R.N., A.P.N,C, C.A.
• Alon Terry, M.D
• Abiy Meaza Tessema, M.D.

• Speech-Language Pathologist in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.