Individual provider Active NPI

Stephanie O'Brien

  • Speech-Language Pathologist
  • Jersey City, NJ
National Provider Identifier
1629474887
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00781900 Issued in NJ
Practice address
47 Washburn St Apt 2B
Jersey City, NJ 07306-1718
Phone
(908) 692-7998
NPI assigned
Nov 14, 2014
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 41YS00781900 NJ Primary

Addresses

Primary practice location

47 Washburn St Apt 2B
Jersey City, NJ 07306-1718

Mailing address

47 Washburn St Apt 2B
Jersey City, NJ 07306-1718
Phone (908) 692-7998

Other practice location 1

32 E 22nd St
Bayonne, NJ 07002-3709
Phone (862) 223-8002

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
41YS00781900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow With Me Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients
Infinite Therapy Solutions LLP Past Accepting new patients

Organizations & group practices 2

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1629474887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WASHBURN ST APT 2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061718",
            "telephone_number": "908-692-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WASHBURN ST APT 2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061718",
            "telephone_number": "908-692-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023709",
            "country_code": "US",
            "telephone_number": "862-223-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00781900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.