Organization Active NPI

Speechcastlellc

  • Speech-Language Pathologist
  • Morganville, NJ
National Provider Identifier
1912619859
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECHCASTLELLC
Doing business as
SpeechCastleLLC
Practice address
457 Route 79 Ste 1
Morganville, NJ 07751-4703
Phone
(732) 558-5922
NPI assigned
Dec 22, 2022
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Lorena Ruvinova, M.S. SLPNPI 1134798929
Title
Speech Language Pathologist
Phone
(347) 530-4416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

457 Route 79 Ste 1
Morganville, NJ 07751-4703

Mailing address

457 Route 79 Ste 1
Morganville, NJ 07751-4703
Phone (732) 558-5922

Other names 1

  • SpeechCastleLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240116002811 NJ Part B Supplier - Clinic/Group Practice 0143672014 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

457 State Route 79
Ste 1
Morganville, NJ 07751
Phone (732) 558-5922

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1912619859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ROUTE 79 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514703",
            "telephone_number": "732-558-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 ROUTE 79 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514703",
            "telephone_number": "732-558-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHCASTLELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "RUVINOVA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-530-4416",
        "authorized_official_credential": "M.S. SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpeechCastleLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SpeechCastleLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.