MSB Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00374600 Issued in NJ

Legal business name

MSB THERAPY, LLC

Practice address

55 Skyline Drive
Suite 206a
Ringwood, NJ 07456

Phone

(201) 306-9818

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Meredith Bazaar, MA, CCC-SLP, HPCS

Title

Chief SLP

Phone

(201) 306-9818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Sarah Rubin, MA, CCC-SLP, HPCS

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1780745570
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1578624177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SKYLINE DRIVE",
            "address_2": "SUITE 206A",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "07456",
            "telephone_number": "201-306-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SKYLINE DRIVE",
            "address_2": "SUITE 206A",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "07456",
            "telephone_number": "201-306-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSB THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BAZAAR",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CHIEF SLP",
        "authorized_official_telephone_number": "201-306-9818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP, HPCS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00374600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Mitchell
• Amr Moharm
• Jodi Anne Monro, RPH, CCP
• Melissa Montegari, LPC
• Stanley John Morris, D.M.D.
• Jeanne Mullin
• New Jersey CVS Pharmacy LLC
• Leila Noueihed, RPH
• Nuts and Bolts Developmental Therapy Services
• Claudia Ortiz

• Speech-Language Pathologist in Ringwood, NJ
• Providers in Ringwood, 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 Jan 5, 2017; 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.