Individual provider Active NPI

Benjamin Reich, SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1609180447
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00639600 Issued in NJ
Practice address
32 E 9TH St
Lakewood, NJ 08701-1992
Phone
(732) 966-4673
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00639600 NJ Primary
Speech-Language Pathologist 235Z00000X 019548 NY

Addresses

Primary practice location

32 E 9TH St
Lakewood, NJ 08701-1992

Mailing address

32 E 9TH St
Lakewood, NJ 08701-1992
Phone (732) 905-4409

Other practice location 1

1312 38th St
Brooklyn, NY 11218-3612
Phone (732) 686-3700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41YS00639600NJMDSpeech-Language Pathologist
019548NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1609180447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E 9TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011992",
            "telephone_number": "732-905-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E 9TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011992",
            "telephone_number": "732-966-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 38th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112183612",
            "country_code": "US",
            "telephone_number": "732-686-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICH",
        "first_name": "BENJAMIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00639600",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.