MBG Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00596800 Issued in NJ

Legal business name

MBG THERAPY

Practice address

7 Amy Dr
Westfield, NJ 07090-2619

Phone

(732) 580-3539

Fax

(847) 886-7525

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Marissa Vastoler

Title

Therapist

Phone

(732) 580-3539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1679071740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AMY DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902619",
            "telephone_number": "732-580-3539",
            "fax_number": "847-886-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AMY DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902619",
            "telephone_number": "732-580-3539",
            "fax_number": "847-886-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBG THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "VASTOLER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "732-580-3539"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00596800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Mastronardi
• Tiffani Mathikolonis, OT
• Michael B Mayer, MD
• Lauren Mazzarese, LPC
• Marie Mazzola, LAC
• Timothy Patrick McCabe, D.M.D
• Maria T McCaffrey, OTR CHT
• Alexa Maes McChesney
• Jennifer McClave
• Mary McClellan, MA SE

• Speech-Language Pathologist in Westfield, NJ
• Providers in Westfield, 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 Jan 24, 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.