Active NPI
Annie Rose Blum, M.S. CCC-SLP
- Speech-Language Pathologist
- Jersey City, NJ
National Provider Identifier
1962226209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01293700
- Practice address
- 52 Griffith St
Jersey City, NJ 07307-1516 - Phone
- (609) 410-9575
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 034446-01 | NY | |
| Speech-Language Pathologist | 235Z00000X | 41YS01293700 | NJ | Primary |
Addresses
Primary practice location
52 Griffith St
Jersey City, NJ 07307-1516
Mailing address
52 Griffith St
Jersey City, NJ 07307-1516
Phone (609) 410-9575
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01293700 | NJ | MD | Speech-Language Pathologist |
| 034446-01 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1962226209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 GRIFFITH ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073071516",
"telephone_number": "609-410-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 GRIFFITH ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073071516",
"telephone_number": "609-410-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "ANNIE",
"middle_name": "ROSE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "034446-01",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS01293700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.