Individual provider Active NPI

Naomi Sutton, SLP

  • Speech-Language Pathologist
  • Wayne, NJ
National Provider Identifier
1629344494
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00635500 Issued in NJ
Practice address
1211 Hamburg Tpke Ste 224
Wayne, NJ 07470-5056
Phone
(973) 800-8515
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 41YS00635500 NJ Primary

Addresses

Primary practice location

1211 Hamburg Tpke Ste 224
Wayne, NJ 07470-5056

Mailing address

17 Rumson Rd
Livingston, NJ 07039-3312
Phone (516) 476-1260

Other practice location 1

66 W Mount Pleasant Ave
203
Livingston, NJ 07039-2900
Phone (973) 994-4468

Other practice location 2

1211 Hamburg Tpke
Wayne, NJ 07470-5043
Phone (973) 800-8515

Other practice location 3

1211 Hamburg Tpke Ste 224
Wayne, NJ 07470-5056
Phone (973) 800-8515 ext. 97380

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
41YS00635500NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Speech LLC Speech-Language Pathologist Current Accepting new patients
Eat Speak Smile LLC CurrentSince Apr 17, 2022 Accepting new patients
Brave Wings Therapy, PC Speech-Language Pathologist Past Accepting new patients
Metropolitan Speech & Language Center, LLC Speech-Language Pathologist Past Accepting new patients
Brave Wings Academy, LLP PastSince Mar 26, 2023 Accepting new patients

Locations

1211 Hamburg Tpke
Ste 224
Wayne, NJ 07470
Phone (201) 696-0998

Organizations & group practices 5

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1629344494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RUMSON RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393312",
            "telephone_number": "516-476-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE STE 224",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705056",
            "telephone_number": "973-800-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 W Mount Pleasant Ave",
            "address_2": "203",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070392900",
            "country_code": "US",
            "telephone_number": "973-994-4468",
            "fax_number": "973-994-4412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705043",
            "country_code": "US",
            "telephone_number": "973-800-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Hamburg Tpke Ste 224",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705056",
            "country_code": "US",
            "telephone_number": "973-800-8515 x97380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "NAOMI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00635500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.