Pediatric Speech Associates LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC SPEECH ASSOCIATES LLC

Practice address

24 Cushman St
Lakewood, NJ 08701-5201

Phone

(732) 363-2350

NPI assigned

Nov 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Waldman Devorah

Title

Owner

Phone

(732) 363-2350

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devorah Waldman

  • Speech-Language Pathologist
  • Lakewood, NJ
  • NPI 1003116856
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1992006274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CUSHMAN ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CUSHMAN ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015201",
            "telephone_number": "732-363-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "DEVORAH",
        "authorized_official_first_name": "WALDMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-363-2350"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anni Pedersen
• Shannon Pedersen
• Pedi-Care Corp
• Pediapath ABA LLC
• Pediatric OT, LLC.
• Miriam Pelberg
• Hillel Peltz, DO
• Erin Pelusio
• Pelvic Floor & Core Therapy
• Perception Perfection LLC

• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, 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 Nov 3, 2010; 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.