Beth Carter Abinya, MS, CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Lakewood, NJ
NPI 1649565243 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1649565243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3205 (NH)
- Practice address
- 411 Blvd. of the Amercias
Suite 107
Lakewood, NJ 08701 - Phone
- (603) 716-6141
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250731003874 | NH | Practitioner - Qualified Speech Language Pathologist | 2062929375 | Practice locations: Goffstown, NH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29940 | CA | MD | Speech-Language Pathologist |
| SP-2729 | NV | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 29940 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP-2729 | NV | |
| Speech-Language Pathologist | 235Z00000X | 3205 | NH | Yes |
Addresses
Primary practice location
411 Blvd. of the Amercias
Suite 107
Lakewood, NJ 08701
Mailing address
87 New Boston Rd
Goffstown, NH 03045-2032
Phone (603) 716-6141
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All providers in Lakewood, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.