Individual provider Active NPI

Loreen M Beck, SLP-CCC

  • Speech-Language Pathologist
  • Middletown, NJ
National Provider Identifier
1871864280
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00627600 Issued in NJ
Practice address
620 Hwy 35
Sundance Rehabilitation @ Brighton Gardens
Middletown, NJ 07748-4224
Phone
(732) 671-9560
Fax
(505) 468-8634
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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 41YS00627600 NJ Primary

Addresses

Primary practice location

620 Hwy 35
Sundance Rehabilitation @ Brighton Gardens
Middletown, NJ 07748-4224

Mailing address

620 Hwy 35
Sundance Rehabilitation @ Brighton Gardens
Middletown, NJ 07748-4224
Phone (732) 671-9560

Other names 1

  • Loreen M Breda Former name

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
41YS00627600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1871864280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HWY 35",
            "address_2": "SUNDANCE REHABILITATION @ BRIGHTON GARDENS",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484224",
            "telephone_number": "732-671-9560",
            "fax_number": "505-468-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HWY 35",
            "address_2": "SUNDANCE REHABILITATION @ BRIGHTON GARDENS",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484224",
            "telephone_number": "732-671-9560",
            "fax_number": "505-468-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "LOREEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00627600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREEN",
            "last_name": "BREDA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.