Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Lisa Larson

Speech-Language Pathologist β€’ New Providence, NJ

Active NPI 1609301407 Individual Practitioner Female Practitioner
Practice location in NPPES

535 Mountain Ave
New Providence, NJ 079742002

Call 9082955608 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

535 Mountain Ave

New Providence, NJ 079742002

Telephone 9082955608

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in New Providence and New Jersey

9 active clinicians are listed under Speech-Language Pathologist with a practice address in New Providence, NJ (4,917 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NJ 41YS00882400

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1710298203

Doctor of Medicine (M.D.)

Dr. Susan Frankel , DO

Internal Medicine - Geriatric Medicine

NPI 1760522163

Doctor of Osteopathic Medicine (D.O.)

Lady Fromm , OT

Occupational Therapist - Gerontology

NPI 1912656489

Occupational Therapist

NPI 1952528432

Doctor of Medicine (M.D.)

Jennifer Maguire

Physical Therapist

NPI 1538849633
NPI 1548591340

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 14, 2017

Registered at 535 MOUNTAIN AVE, NEW PROVIDENCE, NJ 079742002 (Tel: 9082955608)

πŸ“
Updated Business Mailing Address June 14, 2017

Registered at 47 WHITNEY DR, BERKELEY HEIGHTS, NJ 079222515

πŸ‘€
Provider Name / Credentials Updated June 14, 2017

Recorded as LISA LARSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Speech-Language Pathologist (license number reported to NPPES: NJ 41YS00882400)

βœ…
NPI Profile Active April 29, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 29, 2017

Registered at 801 MAMARONECK AVE, APT 301, WHITE PLAINS, NY 106053500 (Tel: 9082955608)

πŸ“
Business Mailing Address (Initial Record) April 29, 2017

Registered at 801 MAMARONECK AVE, APT 301, WHITE PLAINS, NY 106053500

πŸ‘€
Provider Name / Credentials (Initial Record) April 29, 2017

Recorded as LISA LARSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2017

Speech-Language Pathologist (license number reported to NPPES: NJ 41YS00882400)

🟒
Initial NPI Registration & Enumeration April 29, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609301407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2017
Last Update: June 14, 2017
Sole Proprietor: No

Mailing Address

47 Whitney Dr

Berkeley Heights, NJ 079222515

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.