Kevin O'Hare

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00228500 Issued in NJ

Practice address

2 Main St
Suite 3
Bradley Beach, NJ 07720-1059

Phone

(732) 455-5504

Fax

(732) 455-5505

NPI assigned

Feb 20, 2009

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1801036553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST.,, SUITE 3",
            "address_2": "SPEECH AT THE BEACH",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201062",
            "telephone_number": "732-455-5504",
            "fax_number": "732-455-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201059",
            "telephone_number": "732-455-5504",
            "fax_number": "732-455-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00228500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony La Regina, ATC
• Frank Lee, M.D.
• Karen M Levasseur, LCSW
• Ashley Lotito, MS, RDN
• Christopher William Noll, DPT
• Michelle Elizabeth Pires, DPT
• Paige Alexandra Preston
• Edwin Quashie, NNP
• Danielle Restivo, DPT
• Amy Sue Ryan, LCSW

• Speech-Language Pathologist in Bradley Beach, NJ
• Providers in Bradley Beach, 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 Feb 1, 2012; 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.