Individual provider Active NPI

Madelyn Grauer Kalb, MS-SPEECH PATHOLOGY

  • Speech-Language Pathologist
  • Middletown, NJ
National Provider Identifier
1699569830
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00029900 Issued in NJ
Practice address
11 Danemar Dr
Middletown
Middletown, NJ 07748
Phone
(732) 939-0628
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 41YS00029900 NJ Primary

Addresses

Primary practice location

11 Danemar Dr
Middletown
Middletown, NJ 07748

Mailing address

11 Danemar Dr
Middletown
Middletown, NJ 07748
Phone (732) 939-0628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610002704 NJ Practitioner - Qualified Speech Language Pathologist 8325558158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00029900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince May 1, 2025 Accepting new patients

Locations

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1699569830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DANEMAR DR",
            "address_2": "MIDDLETOWN",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "732-939-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DANEMAR DR",
            "address_2": "MIDDLETOWN",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "732-939-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALB",
        "first_name": "MADELYN",
        "middle_name": "GRAUER",
        "name_prefix": "Ms.",
        "credential": "MS-SPEECH PATHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00029900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.