Individual provider Active NPI

Robyn Ann Merkel-Walsh, MA, CCC-SLP

  • Speech-Language Pathologist
  • Ridgefield, NJ
National Provider Identifier
1922479138
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41S00305300 Issued in NJ
Practice address
480 Bergen Blvd
Suite 3
Ridgefield, NJ 07657-2818
Phone
(201) 945-6200
Fax
(201) 945-6201
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 41S00305300 NJ Primary

Addresses

Primary practice location

480 Bergen Blvd
Suite 3
Ridgefield, NJ 07657-2818

Mailing address

480 Bergen Blvd
Suite 3
Ridgefield, NJ 07657-2818
Phone (201) 945-6200

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41S00305300NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1922479138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 BERGEN BLVD",
            "address_2": "SUITE 3",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572818",
            "telephone_number": "201-945-6200",
            "fax_number": "201-945-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BERGEN BLVD",
            "address_2": "SUITE 3",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572818",
            "telephone_number": "201-945-6200",
            "fax_number": "201-945-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL-WALSH",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41S00305300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.