Individual provider Active NPI

Toby Sarah Eisikovic, SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1972840049
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00580100 Issued in NJ
Practice address
1527 Cedarwood Dr
Lakewood, NJ 08701-3811
Phone
(732) 534-0646
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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 41YS00580100 NJ Primary

Addresses

Primary practice location

1527 Cedarwood Dr
Lakewood, NJ 08701-3811

Mailing address

1527 Cedarwood Dr
Lakewood, NJ 08701-3811
Phone (732) 534-0646

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
41YS00580100NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1972840049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 CEDARWOOD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013811",
            "telephone_number": "732-534-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 CEDARWOOD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013811",
            "telephone_number": "732-534-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISIKOVIC",
        "first_name": "TOBY",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00580100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.