Active NPI
Garden State Aac Specialists, LLC
- Speech-Language Pathologist
- Lebanon, NJ
National Provider Identifier
1639659311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00658500
- Legal business name
- GARDEN STATE AAC SPECIALISTS, LLC
- Practice address
- 1128 RT 31 North
Lebanon, NJ 08833 - Phone
- (908) 652-4403
- Fax
- (908) 652-2010
- NPI assigned
- Aug 21, 2018
- Last updated
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Donovan, M.S. CCC-SLP, ATP
- Title
- Owner
- Phone
- (908) 652-4403
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 41YS00658500 | NJ | Primary |
Addresses
Primary practice location
1128 RT 31 North
Lebanon, NJ 08833
Mailing address
PO Box 97
Annandale, NJ 08801
Phone (908) 652-4403
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Lebanon, NJ
- NPI 1962771311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1639659311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "ANNANDALE",
"state": "NJ",
"postal_code": "08801",
"telephone_number": "908-652-4403",
"fax_number": "908-652-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 RT 31 NORTH",
"city": "LEBANON",
"state": "NJ",
"postal_code": "08833",
"telephone_number": "908-652-4403",
"fax_number": "908-652-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE AAC SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-652-4403",
"authorized_official_credential": "M.S. CCC-SLP, ATP"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00658500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.