SPEECH THERAPY SOURCE INC
NPI 1356177356
Clinic/Center - Rehabilitation in Clifton, NJ

Active since September 09, 2024
227 LAKEVIEW AVE, CLIFTON, NJ 07011(201) 543-8524(201) 945-4546 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, Sep 9, 2024 (2 updates tracked since 2024).

About Speech Therapy Source Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPEECH THERAPY SOURCE INC (NPI 1356177356) is a healthcare organization registered as a rehabilitation in Clifton, New Jersey and active in the NPI registry since September 2024. The organization lists Mohammad N Alqudah, Owner, as its authorized official.

NPPES Registry Identity

NPI1356177356
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSPEECH THERAPY SOURCE INC
Location Address227 LAKEVIEW AVEClifton, NJ 07011-4011
Mailing Address227 Lakeview AveClifton, NJ 07011-4011 · (201) 543-8524 · Fax (201) 945-4546
Fax(201) 945-4546
Organization SubpartNo
Authorized OfficialMohammad N AlqudahOwner · (201) 543-8524
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1356177356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
227 LAKEVIEW AVE, Clifton, NJ 07011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Speech Therapy Source Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Speech Therapy Source Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Occupational Therapist in Private Practice
NPI 1831749563
126 MORTIMER AVE
Rutherford, NJ 07070
(973) 356-9009
3.9 mi
Qualified Speech Language Pathologist
NPI 1912605957
301 SICOMAC AVE
Wyckoff, NJ 07481
(201) 848-5200
✔ Accepts Medicare7.0 mi
Qualified Speech Language Pathologist
NPI 1831512011
141 W 73RD ST #1N
New York, NY 10023
(877) 407-3422
✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Speech Therapy Source Inc's NPI number?

The NPI number for Speech Therapy Source Inc is 1356177356. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Speech Therapy Source Inc located?

Speech Therapy Source Inc is located at 227 Lakeview Ave, Clifton, NJ 07011. The listed phone number is (201) 543-8524.

What is Speech Therapy Source Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Speech Therapy Source Inc enrolled in Medicare?

Yes. Speech Therapy Source Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Speech Therapy Source Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Speech Therapy Source Inc, in Occupational Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Speech Therapy Source Inc was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.