Individual provider Active NPI

Mary Carolyn Treuer, SLP

  • Speech-Language Pathologist
  • Livingston, NJ
National Provider Identifier
1639646615
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS000903200 Issued in NJ
Practice address
5 Regent St Ste 528
Livingston, NJ 07039-1621
Phone
(973) 535-0543
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 41YS000903200 NJ Primary

Addresses

Primary practice location

5 Regent St Ste 528
Livingston, NJ 07039-1621

Mailing address

91 Mary Ave
Woodland Park, NJ 07424-2858
Phone (973) 960-8520

Other names 1

  • Mrs. Mary Carolyn Treuer del Ojo Professional name

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
41YS000903200NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1639646615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MARY AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242858",
            "telephone_number": "973-960-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST STE 528",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391621",
            "telephone_number": "973-535-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREUER",
        "first_name": "MARY",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS000903200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TREUER DEL OJO",
            "middle_name": "CAROLYN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.