Kaitlyn Shay Bazerque, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00988300 Issued in NJ

Practice address

132 Cruise Rd
Manahawkin, NJ 08050-1223

Phone

(609) 549-2177

NPI assigned

May 4, 2023

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

Practice roles

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.

• Just Speechie LLC

  • Hearing and Speech Clinic/Center
  • Manahawkin, NJ
  • NPI 1366227753
  NPD (past)

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1568151595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NEWELL AVE",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080929608",
            "telephone_number": "609-661-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CRUISE RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501223",
            "telephone_number": "609-549-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1769 Hooper Avenue",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08753",
            "country_code": "US",
            "telephone_number": "732-913-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZERQUE",
        "first_name": "KAITLYN",
        "middle_name": "SHAY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00988300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Barton, PT, DPT
• Bartucci Family Chiropractic
• Nicole Bartucci, APN, D.C,
• Eric S. Baskin, DPM
• Kenneth T Bayne, P.T.
• Denise Beard, MD
• Jennifer Bennett, LSW
• Better at Home Medical Care Service,LLC
• Lynn E Bezpalko, D.O.
• Orest Bezpalko, D.O.

• Speech-Language Pathologist in Manahawkin, NJ
• Providers in Manahawkin, 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 Oct 11, 2023; 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.