Englewood Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00206100 Issued in NJ

Legal business name

ENGLEWOOD SPEECH THERAPY LLC

Practice address

163 Engle St
Suite 1B
Englewood, NJ 07631-2535

Phone

(201) 286-5138

Fax

(201) 569-6709

NPI assigned

May 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carla Ann Fishbein, M.S.P.A.NPI 1649342965

Title

Speech/Language Pathologist

Phone

(201) 286-5138

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla A Fishbein, M.S.P.A.,CCC

  • Speech-Language Pathologist
  • Englewood, NJ
  • NPI 1649342965
  NPD (past) Authorized official

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1659547735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SHERWOOD RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702734",
            "telephone_number": "201-286-5138",
            "fax_number": "201-569-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST",
            "address_2": "SUITE 1B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312535",
            "telephone_number": "201-286-5138",
            "fax_number": "201-569-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "201-286-5138",
        "authorized_official_credential": "M.S.P.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00206100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1649342965",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.