Individual provider Active NPI

Cynthia Suarez-McNulty

  • Speech-Language Pathologist
  • Bergenfield, NJ
National Provider Identifier
1952021784
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00540200 Issued in NJ
Practice address
70 Van Valkenburgh Ave
Bergenfield, NJ 07621-2649
Phone
(646) 541-4872
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 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 41YS00540200 NJ Primary

Addresses

Primary practice location

70 Van Valkenburgh Ave
Bergenfield, NJ 07621-2649

Mailing address

57 Lakeside Dr
Nutley, NJ 07110-1311
Phone (201) 741-7626

Other practice location 1

57 Lakeside Dr
Nutley, NJ 07110-1311
Phone (201) 741-7626

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
41YS00540200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonder Kids Therapy Center Speech-Language Pathologist CurrentSince Sep 24, 2023 Accepting new patients

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1952021784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LAKESIDE DR",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101311",
            "telephone_number": "201-741-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VAN VALKENBURGH AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212649",
            "telephone_number": "646-541-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071101311",
            "country_code": "US",
            "telephone_number": "201-741-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ-MCNULTY",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00540200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.