Carol Shaw, M.S.C.C.C. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00032200 Issued in NJ

Practice address

1166 River Ave
Lakewood, NJ 08701-5600

Phone

(908) 783-8481

Fax

(732) 657-0224

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1902070113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BRIDPORT PL",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087594633",
            "telephone_number": "732-657-1330",
            "fax_number": "732-657-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "908-783-8481",
            "fax_number": "732-657-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "M.S.C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00032200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Sharit, SLP
• Jill I Sharon, D.O.
• Isabelle Ilene Sharp
• Sarah Reina Shasho, LCSW
• Malky Shaulson, LCSW
• Narita Shaw
• Timothy Sheehy Jr.
• Charna R Sheinfeld, RD
• Rebecca G Sheinfeld, APN, FNP-C
• Shaylee Shepard

• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, 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 Apr 17, 2008; 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.