Individual provider Active NPI

Paul Yousef

  • Speech-Language Pathologist
  • Matawan, NJ
National Provider Identifier
1811405772
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00846500 Issued in NJ
Practice address
10 Tudor CT
Matawan, NJ 07747-3679
Phone
(201) 956-1127
NPI assigned
Jan 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 41YS00846500 NJ Primary

Addresses

Primary practice location

10 Tudor CT
Matawan, NJ 07747-3679

Mailing address

10 Tudor CT
Matawan, NJ 07747-3679
Phone (201) 956-1127

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

State licenses

LicenseStateTypeSpecialty
41YS00846500NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Pediatrics LLC Speech-Language Pathologist CurrentSince Jan 31, 2021 Accepting new patients

Locations

432 State Route 34
Ste 1A
Matawan, NJ 07747
Phone (732) 705-1645

Organizations & group practices 1

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1811405772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TUDOR CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473679",
            "telephone_number": "201-956-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TUDOR CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473679",
            "telephone_number": "201-956-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-01-21",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00846500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.