Individual provider Active NPI

Alyssa Orbaczewski

  • Speech-Language Pathologist
  • Williamstown, NJ
National Provider Identifier
1699395129
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Somerdale Boe CurrentSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.