Individual provider Active NPI

Teresa Gil

  • Speech-Language Pathologist
  • Montclair, NJ
National Provider Identifier
1871141705
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
139 Chestnut St
Montclair, NJ 07042-2945
Phone
(973) 865-2223
Fax
(973) 744-1811
NPI assigned
Sep 4, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 NJ Primary

Addresses

Primary practice location

139 Chestnut St
Montclair, NJ 07042-2945

Mailing address

139 Chestnut St
Montclair, NJ 07042-2945
Phone (973) 865-2223

Other identifiers 1

IdentifierTypeStateIssuer
07042OtherMOBILE THERAPY SERVICES, INC.

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address veola@primerehab.com Mobile Therapy Services, Inc.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Rehabilitation Services, Inc. Speech-Language Pathologist PastSince Jan 31, 2021 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, 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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1871141705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHESTNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422945",
            "telephone_number": "973-865-2223",
            "fax_number": "973-744-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CHESTNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422945",
            "telephone_number": "973-865-2223",
            "fax_number": "973-744-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOBILE THERAPY SERVICES, INC.",
            "identifier": "07042",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veola@primerehab.com",
            "affiliation": "Y",
            "affiliationName": "Mobile Therapy Services, Inc.",
            "address_1": "1 Main St Ste 505",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077243903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.