Individual provider Active NPI

Jill Pila

  • Speech-Language Pathologist
  • Basking Ridge, NJ
National Provider Identifier
1982170106
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00481800 Issued in NJ
Practice address
25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453
Phone
(908) 758-1006
Fax
(908) 360-0511
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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 41YS00481800 NJ Primary

Addresses

Primary practice location

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453

Mailing address

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453
Phone (908) 758-1006

Other identifiers 1

IdentifierTypeStateIssuer
41YS00481800OtherNJNJ LICENSE

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
41YS00481800NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Physical Therapy, LLC Speech-Language Pathologist PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1982170106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILA",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00481800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "41YS00481800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.