Individual provider Active NPI

Marc Rosenblatt, MA., CCC-SLP

  • Speech-Language Pathologist
  • Parsippany, NJ
National Provider Identifier
1588783872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00395400 Issued in NJ
Practice address
200 Reynolds Ave
Parsippany, NJ 07054-3326
Phone
(973) 887-8080
Fax
(973) 386-5974
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00395400 NJ Primary

Addresses

Primary practice location

200 Reynolds Ave
Parsippany, NJ 07054-3326

Mailing address

41 Lynn Dr
Andover, NJ 07821-3507

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Vista Health Care Staffing, LLC Speech-Language Pathologist Past Accepting new patients
Ansa Consultants, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588783872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LYNN DR",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078213507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 REYNOLDS AVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543326",
            "telephone_number": "973-887-8080",
            "fax_number": "973-386-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "MARC",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00395400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.