Individual provider Active NPI

Samantha Emily Herrick, CCC-SLP

  • Speech-Language Pathologist
  • Wayne, NJ
National Provider Identifier
1932693678
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00937900 Issued in NJ
Practice address
2282 Hamburg Tpke Ste a
Wayne, NJ 07470-6291
Phone
(973) 800-4050
NPI assigned
Jun 16, 2018
Last updated
Jan 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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 41YS00937900 NJ Primary

Addresses

Primary practice location

2282 Hamburg Tpke Ste a
Wayne, NJ 07470-6291

Mailing address

71 Passaic Valley Rd
Montville, NJ 07045-9677
Phone (973) 897-7685

Other identifiers 1

IdentifierTypeStateIssuer
41YS00937900OtherNJSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL herrickphysicaltherapy.com

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

State licenses

LicenseStateTypeSpecialty
41YS00937900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Herrick Home Care Physical Therapy Orthopedic & Pediatric Services PC Speech-Language Pathologist CurrentSince Feb 6, 2022 Accepting new patients

Locations

2282 Hamburg Tpke
Ste A
Wayne, NJ 07470
Phone (973) 800-4050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1932693678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PASSAIC VALLEY RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459677",
            "telephone_number": "973-897-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 HAMBURG TPKE STE A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706291",
            "telephone_number": "973-800-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "SAMANTHA",
        "middle_name": "EMILY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00937900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "41YS00937900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "herrickphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "2282 Hamburg Tpke Ste A",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074706291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.