NPI 1275892432 · live from the CMS NPI Registry
Advanced Therapy Of America, LLC
Speech-Language Pathologist, in Iselin, NJ. National Provider Identifier 1275892432, active.
NPI record
| NPI | 1275892432 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 485a Us Highway 1 S, Suite 300, Iselin, NJ 08830 |
| Practice phone | 732-726-0600 |
| Enumerated | May 9, 2012 |
| Last updated | September 30, 2014 |
| Authorized official | Maria Mcnish, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 0031052 (NJ) |
| Occupational Therapist | 225X00000X | 46TR00305400 (NJ) |
| Occupational Therapist | 225X00000X | 46TR00323600 (NJ) |
| Speech-Language Pathologist, | 235Z00000X | 41YS00374500 (NJ) |
| Speech-Language Pathologist, | 235Z00000X | 41YS00452100 (NJ) |
| Speech-Language Pathologist, primary | 235Z00000X | 41YS00422600 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.