Speech Therapy Group

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

Legal business name

SPEECH THERAPY GROUP

Practice address

239 Bergen Blvd
Fairview, NJ 07022-1323

Phone

(201) 945-4545

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Alqudah

Title

SLP/Owner

Phone

(201) 945-4545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1902575764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BERGEN BLVD",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221323",
            "telephone_number": "201-945-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BERGEN BLVD",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221323",
            "telephone_number": "201-945-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ALQUDAH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "201-945-4545"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Santos, PT, DPT
• Cathleen Mary Saros, D.O.
• Ashanti Kayla Sattan
• Hammaad Raffit Shah, DDS
• Slec, LLC (FYZICAL Therapy and Balance Centers)
• SPR Institute (Sports Pain & Regenerative Institute)
• Kathleen M Visokey, P.T.
• Brian M Wraith, D.C.
• Louise Agatha Wright
• Richard Joongwon Yoon, RN

• Pathology Specialist/Technologist in Fairview, NJ
• Providers in Fairview, NJ by specialty
• Pathology Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.