Breakthrough Pediatric Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BREAKTHROUGH PEDIATRIC SPEECH THERAPY LLC

Practice address

1806 Route 35
Oakhurst, NJ 07755-2700

Phone

(732) 910-4074

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Allison MandelbaumNPI 1649846072

Title

Owner

Phone

(732) 910-4074

Specialties & licenses 3

Addresses

Other names 1

• Breakthrough Pediatric Therapy Doing business as

Locations

Practitioners 2

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

• Allison Mandelbaum

  • Speech-Language Pathologist
  • Oceanport, NJ
  • NPI 1649846072
  NPD Authorized official
• Cynthia Anne Shotliff, MS, CCC-SLP

  • Speech-Language Pathologist
  • Little Silver, NJ
  • NPI 1073255717
  NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1699545756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CREST DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391317",
            "telephone_number": "732-910-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 ROUTE 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552700",
            "telephone_number": "732-910-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-910-4074"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthrough Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lynn Belanger, DPM
• Inna Belenson, MSN, RN, APN-C
• Anthony R Bevacqui, DMD
• BJ'S Wholesale Club Inc.
• BKM Counseling Services
• Kristen Margaret Brophy-McCauley, LPC
• Alexander Sherwood Browne, M.D.
• Brunswick Health Oakhurst
• Reid Douglass Bryansmith, PHARM.D.
• Bartolomeo Buono I, DC

• Speech-Language Pathologist in Oakhurst, NJ
• Providers in Oakhurst, 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 6, 2024; 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.