Individual provider Active NPI

Rebecca Hope Grossman, MS, CF-SLP

  • Speech-Language Pathologist
  • Princeton, NJ
National Provider Identifier
1619587870
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01115000 Issued in NJ
Practice address
256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone
(609) 430-9200
Fax
(609) 430-9202
NPI assigned
Aug 3, 2020
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 SL016108 PA
Speech-Language Pathologist 235Z00000X 41YS01115000 NJ Primary

Addresses

Primary practice location

256 Bunn Dr Ste a
Princeton, NJ 08540-2859

Mailing address

256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone (609) 430-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220207002586 PA Practitioner - Qualified Speech Language Pathologist 6103219597 Reassigns benefits to 1 organization
I20220207002597 NJ Practitioner - Qualified Speech Language Pathologist 6103219597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Nov 29, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 29, 2021 Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

111 Floral Vale Blvd
Yardley, PA 19067
Phone (445) 777-5550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1619587870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "REBECCA",
        "middle_name": "HOPE",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016108",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01115000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.