Active NPI
George Marge Jr., M.S. CCC-SLP
- Speech-Language Pathologist
- Ho Ho Kus, NJ
National Provider Identifier
1609326172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00337400
- Practice address
- 500 Barnett PL
Ho Ho Kus, NJ 07423-1564 - Phone
- (201) 445-4805
- NPI assigned
- Oct 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00337400 | NJ | Primary |
Addresses
Primary practice location
500 Barnett PL
Ho Ho Kus, NJ 07423-1564
Mailing address
165 Harrison St
Haworth, NJ 07641-1922
Other practice location 1
165 Harrison St
Haworth, NJ 07641-1922
Phone (201) 788-1894
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00337400 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gmar Speech and Language L.L.C. | Current | Accepting new patients |
Locations
500 Barnett Pl
Ho Ho Kus, NJ 07423
Phone (201) 445-4805
Organizations & group practices 1
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.
-
- Clinic/Center
- Ho Ho Kus, NJ
- NPI 1548880438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1609326172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 HARRISON ST",
"city": "HAWORTH",
"state": "NJ",
"postal_code": "076411922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BARNETT PL",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231564",
"telephone_number": "201-445-4805"
}
],
"practiceLocations": [
{
"address_1": "165 Harrison St",
"address_purpose": "LOCATION",
"city": "Haworth",
"state": "NJ",
"postal_code": "076411922",
"country_code": "US",
"telephone_number": "201-788-1894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARGE",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-09",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00337400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ho Ho Kus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.