Alexis Bolivar, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00576500 Issued in NJ

Practice address

2 Irving St
East Orange, NJ 07018-1914

Phone

(201) 647-9319

Fax

(973) 766-1704

NPI assigned

Oct 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Don'T Wait Communicate Speech & Language Services, LLC

  • Speech-Language Pathologist
  • East Orange, NJ
  • NPI 1720691587
  NPD Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1891165668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IRVING ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181914",
            "telephone_number": "201-647-9319",
            "fax_number": "973-766-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IRVING ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181914",
            "telephone_number": "201-647-9319",
            "fax_number": "973-766-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "ALEXIS",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00576500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Joseph Blumenfrucht, M.D.
• BMG East Orange LLC
• Catherine Bobenich
• Ann Boby Mathews
• Lamar B Bolden, OTR
• Maria C Bongiovanni, RD
• Maame Bonsu, APN
• Fernando Sayo Borromeo, PT
• Dwight Bostic Jr.
• Suzanne W Botrous, M.D.

• Speech-Language Pathologist in East Orange, NJ
• Providers in East Orange, 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 Oct 5, 2015; 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.