Active NPI
Garden State Speech Therapy
- Speech-Language Pathologist
- Westwood, NJ
National Provider Identifier
1740647528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00603400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryNPI 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.