Justine M Block, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011783 Issued in NY

Practice address

32 Douglas LN
Ridgefield, CT 06877-1514

Phone

(914) 582-6655

Fax

(203) 244-5826

NPI assigned

Mar 31, 2009

Last updated

Mar 31, 2009By the provider in NPPES

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 names 1

• Mrs. Justine Block Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1972745305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DOUGLAS LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771514",
            "telephone_number": "914-582-6655",
            "fax_number": "203-244-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DOUGLAS LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771514",
            "telephone_number": "914-582-6655",
            "fax_number": "203-244-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011783",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "BLOCK",
            "prefix": "MRS.",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alan M Berman, O.D.
• Edward R Berman, M.D.
• Janelle Marie Bessette, PH.D.
• Christian E Bilius
• Susan Blair Bliss, PH.D.
• Cassidy Ann Bluhm, RN, BSN, CBC
• Vicki Sara Blumberg, M.D.
• Megan Songul Bodeur, PT
• Alex Boianghu
• Carol Fares Boland, APRN

• Speech-Language Pathologist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.