Tammy Schlim Croak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00271200 Issued in NJ

Practice address

302 Silverside Ave
Little Silver, NJ 07739-1529

Phone

(609) 658-7218

NPI assigned

Oct 29, 2017

Last updated

Oct 29, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509235200000",
    "number": "1982116174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SILVERSIDE AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391529",
            "telephone_number": "609-658-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVERSIDE AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391529",
            "telephone_number": "609-658-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROAK",
        "first_name": "TAMMY",
        "middle_name": "SCHLIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-29",
        "last_updated": "2017-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00271200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Constantine, APN
• Erin Conway
• Catherine Cooper, LMFT
• Elise Marie Corasaniti, WHNP-BC, CNM
• Jonathon Corbacio, PT
• Yanibeth Cruz Ortiz, MD
• Daniela Cuppari
• Charles Dennison Curtis, MS, PT, DPT
• Liliana Rose Daneman, LSW
• David M. Goldberg, PH.D., P.a.

• Speech-Language Pathologist in Little Silver, NJ
• Providers in Little Silver, 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 Oct 29, 2017; 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.