Organization Active NPI

Creative Connections Speech Therapy LLC

  • Speech-Language Pathologist
  • Jersey City, NJ
National Provider Identifier
1811677982
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CREATIVE CONNECTIONS SPEECH THERAPY LLC
Practice address
111 Town Square PL Ste 1238
Jersey City, NJ 07310-1810
Phone
(914) 407-4469
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Lauren FogartyNPI 1265112338
Title
Owner
Phone
(914) 407-4469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

111 Town Square PL Ste 1238
Jersey City, NJ 07310-1810

Mailing address

20 Church Rd Apt 8P
Maple Shade, NJ 08052-3104
Phone (848) 220-4976

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1811677982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHURCH RD APT 8P",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523104",
            "telephone_number": "848-220-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 1238",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101810",
            "telephone_number": "914-407-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONNECTIONS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-407-4469"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.