Individual provider Active NPI

Mohammad Nour Alqudah, SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1831512011
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021224 Issued in NY
Practice address
141 W 73Rd St
#1N
New York, NY 10023-2916
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Jan 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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 021224 NY Primary

Addresses

Primary practice location

141 W 73Rd St
#1N
New York, NY 10023-2916

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140307000030 NJ Practitioner - Qualified Speech Language Pathologist 6507096823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Therapy Source IncGroup PAC ID 0648702068, 2 clinicians

Practice addresses (Care Compare)

20 Court St
Suite 2
Hackensack, NJ 07601-7002
Phone (201) 740-2323

227 Lakeview Ave
Clifton, NJ 07011-4011
Phone (862) 238-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021224NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Speech Therapy Inc Speech-Language Pathologist CurrentSince Dec 27, 2024 Accepting new patients
Garden State Rehab Services CurrentSince Apr 5, 2015 Accepting new patients
Speech Therapy Source Inc Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients
Manalapan Speech Speech-Language Pathologist Past Accepting new patients

Locations

227 Lakeview Ave
Clifton, NJ 07011
Phone (862) 238-7000

20 Court St
Ste 2
Hackensack, NJ 07601
Phone (201) 740-2323

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1831512011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W 73RD ST",
            "address_2": "#1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232916",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUDAH",
        "first_name": "MOHAMMAD",
        "middle_name": "NOUR",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.