Active NPI
Anisha Mathew, SLP
- Speech-Language Pathologist
- Midland Park, NJ
National Provider Identifier
1639774706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02223L
- Practice address
- 44 Godwin Avenue
Suite 300
Midland Park, NJ 07432 - Phone
- (201) 301-0308
- Fax
- (201) 301-0309
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02223L | MD | Primary |
Addresses
Primary practice location
44 Godwin Avenue
Suite 300
Midland Park, NJ 07432
Mailing address
44 Godwin Avenue
Suite 300
Midland Park, NJ 07432
Phone (201) 301-0308
Other names 1
- Anisha Dan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02223L | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore County Deparment of Health | Past | Accepting new patients | |
| Baltimore County Public Schools | 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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Towson, MD
- NPI 1518013093
-
- Local Education Agency (LEA)
- Towson, MD
- NPI 1326188509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1639774706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GODWIN AVENUE",
"address_2": "SUITE 300",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "07432",
"telephone_number": "201-301-0308",
"fax_number": "201-301-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GODWIN AVENUE",
"address_2": "SUITE 300",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "07432",
"telephone_number": "201-301-0308",
"fax_number": "201-301-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANISHA",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2025-05-20",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02223L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANISHA",
"last_name": "DAN",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.