Individual provider Active NPI

Doreen Bridgman

  • Speech-Language Pathologist
  • Manasquan, NJ
National Provider Identifier
1841685245
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00194500 Issued in NJ
Practice address
2362 Apple Ridge Cir
Manasquan, NJ 08736-1124
Phone
(732) 977-7381
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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 41YS00194500 NJ Primary

Addresses

Primary practice location

2362 Apple Ridge Cir
Manasquan, NJ 08736-1124

Mailing address

2362 Apple Ridge Cir
Manasquan, NJ 08736-1124
Phone (732) 977-7381

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00194500NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cognitive Coach LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1841685245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 APPLE RIDGE CIR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361124",
            "telephone_number": "732-977-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 APPLE RIDGE CIR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361124",
            "telephone_number": "732-977-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGMAN",
        "first_name": "DOREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00194500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.