Organization Active NPI

Garden State Speech Therapy

  • Speech-Language Pathologist
  • Westwood, NJ
National Provider Identifier
1740647528
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00603400 Issued in NJ
Legal business name
GARDEN STATE SPEECH THERAPY
Practice address
223 Old Hook Rd
Westwood, NJ 07675
Phone
(201) 603-2277
Fax
(201) 829-0817
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Ms. Paula Korik
Title
Co-Owner
Phone
(201) 603-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YS00603400 NJ Primary

Addresses

Primary practice location

223 Old Hook Rd
Westwood, NJ 07675

Mailing address

558 Anderson Ave Apt 2a
Cliffside Park, NJ 07010-1704
Phone (201) 965-9695

Other practice location 1

558 Anderson Ave
Cliffside Park, NJ 07010-1704
Phone (201) 965-9695

Other practice location 2

265 Ackerman Ave Ste 203
Ridgewood, NJ 07450-4203
Phone (201) 603-2277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1740647528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 ANDERSON AVE APT 2A",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101704",
            "telephone_number": "201-965-9695",
            "fax_number": "201-829-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-603-2277",
            "fax_number": "201-829-0817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "558 Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Cliffside Park",
            "state": "NJ",
            "postal_code": "070101704",
            "country_code": "US",
            "telephone_number": "201-965-9695",
            "fax_number": "201-829-0817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Ackerman Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074504203",
            "country_code": "US",
            "telephone_number": "201-603-2277",
            "fax_number": "201-829-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARDEN STATE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "KORIK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-603-2277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00603400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.