Skillastic LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SKILLASTIC LLC

Practice address

500 Summer Ave
Lakewood, NJ 08701-4616

Phone

(845) 548-2857

NPI assigned

Sep 12, 2013

Last updated

Jan 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rivka Kanarek

Title

Manager

Phone

(914) 734-8171

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1821423518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MIDTOWN CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017604",
            "telephone_number": "845-548-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014616",
            "telephone_number": "845-548-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLASTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "KANAREK",
        "authorized_official_first_name": "RIVKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-734-8171"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, 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 Jan 12, 2015; 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.