Maria Lucia Bongo, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01145100 Issued in NJ

Practice address

299 Cherry Hill Rd
Parsippany, NJ 07054-1111

Phone

(833) 587-1784

NPI assigned

Jul 5, 2023

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

State licenses

Practice roles

Locations

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.

• Language and Literacy Corner LLC

  • Speech-Language Pathologist
  • Hopatcong, NJ
  • NPI 1598692964
  NPD Authorized official
• Positive Development

  • Speech-Language Pathologist
  • Parsippany, NJ
  • NPI 1518712439
  NPD
• Positive Development Medical of New Jersey PC

  • Psychologist
  • Parsippany, NJ
  • NPI 1437759107

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1760169387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CHERRY HILL RD STE 108",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CHERRY HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541111",
            "telephone_number": "833-587-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGO",
        "first_name": "MARIA",
        "middle_name": "LUCIA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01145100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Blauvelt, LSW
• Bloom Health
• Bloom Medical of New Jersey
• Yvonne Serwaa Boadu, APN-BC
• Naana Boamah
• Vivian Bonilla
• Gayten Carroll Bouzane, MD
• Jay E Bowen, DO
• Tawanna Bowers
• Brain Therapeutics Inc

• Speech-Language Pathologist in Parsippany, NJ
• Providers in Parsippany, 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 Jul 12, 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.