Individual provider Active NPI

Renata Shoimer, CCC-SLP

  • Speech-Language Pathologist
  • Monmouth Junction, NJ
National Provider Identifier
1962830729
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00736100 Issued in NJ
Practice address
2 Foxtail LN
Monmouth Junction, NJ 08852-2005
Phone
(732) 329-0725
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011650 PA
Speech-Language Pathologist 235Z00000X 41YS00736100 NJ Primary

Addresses

Primary practice location

2 Foxtail LN
Monmouth Junction, NJ 08852-2005

Mailing address

2 Foxtail LN
Monmouth Junction, NJ 08852-2005
Phone (732) 329-0725

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
41YS00736100NJMDSpeech-Language Pathologist
SL011650PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1962830729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOXTAIL LN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522005",
            "telephone_number": "732-329-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FOXTAIL LN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522005",
            "telephone_number": "732-329-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOIMER",
        "first_name": "RENATA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011650",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00736100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.