Speech at the Beach

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

41YS00774600 Issued in NJ

Legal business name

SPEECH AT THE BEACH

Practice address

38 Taylor Ave
Manasquan, NJ 08736-3047

Phone

(732) 455-5504

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Pamela Adele Jones, MA CCC-SLP

Title

Speech Therapist

Phone

(732) 455-5504

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1689089047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASPEN CT",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TAYLOR AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363047",
            "telephone_number": "732-455-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AT THE BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "732-455-5504",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "41YS00774600",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "41YS00774600",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "41YS00774600",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "41YS00774600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sol Solutions LLC
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• Anthony M Sparano, M.D.
• Specific Chiropractic Clinics of NJ, Inc
• Joseph Michael Springer, PH.D.
• Regina Elizabeth Stanley, MA, LMFT
• Silvia Stark, LPC
• Michael Stehle, ATC
• Jacqueline Stephanides, LPC, LMHC

• Preferred Provider Organization in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.