Active NPI
Alyssa Orbaczewski
- Speech-Language Pathologist
- Williamstown, NJ
National Provider Identifier
1699395129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1035 N Black Horse Pike Ste 6
Williamstown, NJ 08094-2840 - Phone
- (856) 885-2493
- Fax
- (856) 368-0780
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1035 N Black Horse Pike Ste 6
Williamstown, NJ 08094-2840
Mailing address
2058 Broadlane Rd
Williamstown, NJ 08094-4074
Phone (856) 803-8206
Other practice location 1
301 Grace St
Somerdale, NJ 08083-1454
Phone (856) 783-6261 ext. 211
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerdale Boe | Current | Accepting new patients |
Locations
301 Grace St
Somerdale, NJ 08083
Phone 8567836261 ext. 211
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Somerdale, NJ
- NPI 1629682091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1699395129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 BROADLANE RD",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080944074",
"telephone_number": "856-803-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N BLACK HORSE PIKE STE 6",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080942840",
"telephone_number": "856-885-2493",
"fax_number": "856-368-0780"
}
],
"practiceLocations": [
{
"address_1": "301 Grace St",
"address_purpose": "LOCATION",
"city": "Somerdale",
"state": "NJ",
"postal_code": "080831454",
"country_code": "US",
"telephone_number": "856-783-6261 x211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORBACZEWSKI",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.