Individual provider Active NPI

Rivka Gugenheimer, CF

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1831883867
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3768 Issued in NJ
Practice address
1074 Times Square Blvd
Lakewood, NJ 08701-5524
Phone
(732) 595-2641
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 TL-3768 NJ Primary

Addresses

Primary practice location

1074 Times Square Blvd
Lakewood, NJ 08701-5524

Mailing address

325 7TH St Unit 219
Lakewood, NJ 08701-3771
Phone (848) 223-3363

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

LicenseStateTypeSpecialty
TL-3768NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1831883867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 7TH ST UNIT 219",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013771",
            "telephone_number": "848-223-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 TIMES SQUARE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015524",
            "telephone_number": "732-595-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGENHEIMER",
        "first_name": "RIVKA",
        "name_prefix": "Mrs.",
        "credential": "CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.