Speakeasy Speech and Swallow, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEAKEASY SPEECH AND SWALLOW, LLC

Practice address

9-05 Essex PL
Fair Lawn, NJ 07410-1098

Phone

(551) 804-1669

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Hana Agosto, M.S. CCC-SLP, TSSLD

Title

Owner

Phone

(551) 804-1669

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hana Spatz, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Harrington Park, NJ
  • NPI 1205178845
  NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1861250730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-05 ESSEX PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-05 ESSEX PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101098",
            "telephone_number": "551-804-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY SPEECH AND SWALLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-804-1669",
        "authorized_official_credential": "M.S. CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard C Sonnenblick, M.D.
• Alexandria M. Soto, SLP
• Sovereign Medical Group LLC (Urology Specialtly Care PA)
• Aderemi Soyombo, M.D.
• Sparkle Kids Dentistry PC
• Speech Is US LLC
• Speech Therapy Plus LLC
• Shoshana Sperling Tennenberg, PSY.D
• Arnold Arthur Sperling, ED.D, APN
• Deepak Srinivasan, M.D.

• Speech-Language Pathologist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Mar 6, 2024; 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.