Individual provider Active NPI

Rivka Berman, MS CCC SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1801032115
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18668 Issued in NY
Practice address
945 River Ave
Suite 201
Lakewood, NJ 08701-5606
Phone
(732) 833-3723
Fax
(888) 247-4390
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18668 NY Primary

Addresses

Primary practice location

945 River Ave
Suite 201
Lakewood, NJ 08701-5606

Mailing address

945 River Ave
Suite 201
Lakewood, NJ 08701-5606
Phone (732) 833-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18668NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brainbuilders Speech-Language Pathologist PastSince Jan 15, 2023 Accepting new patients
Brainbuilders Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1801032115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 RIVER AVE",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015606",
            "telephone_number": "732-833-3723",
            "fax_number": "888-247-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER AVE",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015606",
            "telephone_number": "732-833-3723",
            "fax_number": "888-247-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "RIVKA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "18668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.