Ariana Lukowiak

Individual provider Active NPI Speech-Language Pathologist · Rumson, NJ

NPI 1942911912 · NPPES record last updated Dec 9, 2022

Key facts

NPI
1942911912
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
TL-4026 (NJ)
Practice address
120 E River Rd Ste 3
Rumson, NJ 07760-1631
Phone
(732) 888-3912
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231002003737 NJ Practitioner - Qualified Speech Language Pathologist 0941654412 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TL-4026NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Solutions, LLC Speech-Language Pathologist Current
since Oct 2, 2023
Accepting new patients
Shore to Advance Therapy Services Speech-Language Pathologist Past
since Dec 10, 2013
Accepting new patients

Locations

2101 State Route 34
Ste F
Wall Township, NJ 07719
Phone (732) 659-9536

1064 S Main St
Bldg 2C
West Creek, NJ 08092
Phone (609) 234-1796

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TL-4026 NJ Yes

Addresses

Primary practice location

120 E River Rd Ste 3
Rumson, NJ 07760-1631

Mailing address

120 E River Rd Ste 3
Rumson, NJ 07760-1631
Phone (732) 888-3912

Other practice location 1

82 Bethany Rd Ste 1
Hazlet, NJ 07730-1459
Phone (732) 888-3912 ext. 1

Other providers in Rumson, NJ

All providers in Rumson, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.