Active NPI
Cynthia Joyce Burden-Wells, M.A.C.C.C.
- Speech-Language Pathologist
- West Long Branch, NJ
National Provider Identifier
1831219682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00083000
- Practice address
- 223 Monmouth Rd
West Long Branch, NJ 07764-1029 - Phone
- (732) 229-4089
- Fax
- (732) 229-3150
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00083000 | NJ | Primary |
Addresses
Primary practice location
223 Monmouth Rd
West Long Branch, NJ 07764-1029
Mailing address
223 Monmouth Rd
West Long Branch, NJ 07764-1029
Phone (732) 229-4089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00083000 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831219682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MONMOUTH RD",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641029",
"telephone_number": "732-229-4089",
"fax_number": "732-229-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 MONMOUTH RD",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641029",
"telephone_number": "732-229-4089",
"fax_number": "732-229-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEN-WELLS",
"first_name": "CYNTHIA",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "M.A.C.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00083000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.