Sofia Sullivan SLP LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOFIA SULLIVAN SLP LLC

Practice address

206 York St Apt 1
Jersey City, NJ 07302-3645

Phone

(551) 208-7166

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sofia Baglivo Sullivan, M.A., CCC-SLPNPI 1417376708

Title

Owner

Phone

(551) 208-7166

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sofia Baglivo Sullivan, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Jersey City, NJ
  • NPI 1417376708
  Authorized official Same address or phone

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1720793185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 YORK ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023645",
            "telephone_number": "551-208-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 YORK ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023645",
            "telephone_number": "551-208-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA SULLIVAN SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "BAGLIVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-208-7166",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 19, 2023; 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.