Rosa Tsirulnik, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00923300 Issued in NJ

Practice address

3 Dancer LN
Freehold, NJ 07728-8640

Phone

(718) 644-8525

Fax

(718) 744-2588

NPI assigned

Mar 25, 2009

Reactivated

Feb 16, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1962644724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DANCER LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288640",
            "telephone_number": "718-644-8525",
            "fax_number": "718-744-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DANCER LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288640",
            "telephone_number": "718-644-8525",
            "fax_number": "718-744-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Naughton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053322",
            "country_code": "US",
            "telephone_number": "718-644-8525",
            "fax_number": "718-744-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSIRULNIK",
        "first_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2019-11-01",
        "deactivation_date": "2009-04-21",
        "reactivation_date": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017416",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00923300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962644724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.