Organization Active NPI

Paragon Bilingual Therapy Center, LLC

  • Speech-Language Pathologist
  • North Bergen, NJ
National Provider Identifier
1821095415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00422900 Issued in NJ
Legal business name
PARAGON BILINGUAL THERAPY CENTER, LLC
Practice address
7225 Bergenline Ave
Ste 2
North Bergen, NJ 07047-5497
Phone
(201) 662-2117
Fax
(201) 662-2118
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adriana M. Rodriguez, M.S.
Title
Speech-Language Pathologist
Phone
(201) 662-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 41YS00422900 NJ Primary

Addresses

Primary practice location

7225 Bergenline Ave
Ste 2
North Bergen, NJ 07047-5497

Mailing address

7225 Bergenline Ave
Ste 2
North Bergen, NJ 07047-5497
Phone (201) 662-2117

Other identifiers 1

IdentifierTypeStateIssuer
11470713OtherCAQH PROVIDER ID

National Provider Directory

National Provider Directory

Locations

7225 Bergenline Ave
Ste 2
North Bergen, NJ 07047
Phone (201) 662-2117

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821095415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 BERGENLINE AVE",
            "address_2": "STE 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475497",
            "telephone_number": "201-662-2117",
            "fax_number": "201-662-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 BERGENLINE AVE",
            "address_2": "STE 2",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475497",
            "telephone_number": "201-662-2117",
            "fax_number": "201-662-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON BILINGUAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "201-662-2117",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00422900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11470713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.