Dynamic Specialties LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DYNAMIC SPECIALTIES LLC

Practice address

618 Princeton Ave
Lakewood, NJ 08701-2883

Phone

(323) 434-8222

Fax

(732) 806-8376

NPI assigned

Jun 20, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tehila Laufer, M.S. CCC-SLP

Title

Owner

Phone

(323) 434-8222

Specialties & licenses 2

Addresses

Other names 1

• Dynamic Specialties is the legal name of the LLC Former legal business name

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1598259848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PRINCETON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012883",
            "telephone_number": "323-434-8222",
            "fax_number": "732-806-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PRINCETON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012883",
            "telephone_number": "323-434-8222",
            "fax_number": "732-806-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "LAUFER",
        "authorized_official_first_name": "TEHILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-434-8222",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Specialties is the legal name of the LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, 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 Nov 8, 2018; 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.