Active NPI
Jill Pila
- Speech-Language Pathologist
- Basking Ridge, NJ
National Provider Identifier
1982170106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00481800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00481800 | Other | NJ | NJ 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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00481800 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverwalk Physical Therapy, LLC | Speech-Language Pathologist | Past | 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.
-
- Physical Therapy Clinic/Center
- Basking Ridge, NJ
- NPI 1750681201
Speech-Language Pathologist
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.