Andrea Hamblen, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

37 Bowers St Apt 1
Jersey City, NJ 07307-1588

Phone

(928) 274-2478

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Trails Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Jersey City, NJ
  • NPI 1043070592
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1700646254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BOWERS ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071588",
            "telephone_number": "928-274-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOWERS ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071588",
            "telephone_number": "928-274-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLEN",
        "first_name": "ANDREA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammar Haikal, MD
• John H. Hajjar, MD
• Sushma Halthore, DMD
• Marietta Moraleda Halum, D.M.D.
• Sunil Hamadani, DPT
• Laura Hambrick, LMHC
• Atif Y Hamdan I
• Gamal Y Hamdan
• Sara Hamdan, RDN
• Allaeldin Hamed

• Speech-Language Pathologist in Jersey City, NJ
• Providers in Jersey City, 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 Mar 21, 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.