Peter O'Dougherty, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00516800 Issued in NJ

Practice address

1515 Lamberts Mill Rd
Westfield, NJ 07090-4763

Phone

(908) 301-8259

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790800019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071350",
            "telephone_number": "917-834-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAMBERTS MILL RD",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904763",
            "telephone_number": "908-301-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOUGHERTY",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00516800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catheline Noda, APN-PMHNP
• Sinead Bridget Normant, MA CCC - SLP
• North Jersey Rheumatology Center, PA
• Julie Nossier
• David E Nowicki, D.M.D.
• Nina D. Oconnell, DMD
• Suzanne R Offen, O. D.
• Stephanie Olton, CLN
• Oms of Westfield LLC
• On the Spot Therapy

• Speech-Language Pathologist in Westfield, NJ
• Providers in Westfield, 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 8, 2007; 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.