CLIFTON GERIATRIC CENTER (NPI# 1104144765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104144765 |
| Entity Type | Organization |
| Organization Name | CLIFTON GERIATRIC CENTER |
| Other Organization Name | CLIFTON OUTPATIENT REHABILITATION CLINIC |
| Practice Address |
500 Wilbur Ave Somerset MA 02725-2051 |
| Practice Telephone | 5086757589 |
| Practice Fax Number | 5086750132 |
| Mailing Telephone | 5086757589 |
| Mailing Fax Number | 5086750132 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-28 |
| Authorized Official Name | MR. TIMOTHY S PEDERSON (DIRECTOR OF REHABILITATION) |
| Authorized Official Telephone | 5086757589 |
| Authorized Official Credential | MS, PT |
| Is Organization Subpart | Y |
| Parent Organization Name | CLIFTON GERIATRIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4762 | MA | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Clifton Outpatient Rehabilitation Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793509 | Clifton Geriatric Center | Skilled Nursing Facility | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2005-10-07 |
| 1013145218 | Clifton Geriatric Center | Speech-Language Pathologist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2009-06-25 |
| 1538297825 | Clifton Geriatric Center | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2007-03-01 |
| 1083742373 | Clifton Geriatric Center | Physical Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CLIFTON GERIATRIC CENTER ASSOCIATES | 500 Wilbur Ave., Somerset, MA 02725 |
| Street Address |
500 WILBUR AVE |
| City | SOMERSET |
| State | MA |
| Zip Code | 02725-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793509 | Clifton Geriatric Center | Skilled Nursing Facility | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2005-10-07 |
| 1134436926 | Lisa J Santos | Speech-Language Pathologist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2010-09-01 |
| 1306163886 | Amy Kathleen Andrade | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2010-04-23 |
| 1013145218 | Clifton Geriatric Center | Speech-Language Pathologist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2009-06-25 |
| 1396917803 | Nicole Germaine Kenyon | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2008-03-25 |
| 1750562997 | Mark Galluzzo | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2007-11-15 |
| 1538297825 | Clifton Geriatric Center | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2007-03-01 |
| 1083742373 | Clifton Geriatric Center | Physical Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2007-03-01 |
| 1568538767 | Diane Joan Cordeiro | Physical Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2006-11-28 |
| 1730250952 | Lori A Frechette | Physical Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154421584 | Cvs Pharmacy Inc | Pharmacy | 1587 Brayton Point Rd, Somerset, MA 02725 | 2006-09-25 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| 1366817504 | Timothy J Mathewson | Community Health Worker | 20 Burk St, Somerset, MA 02725-1610 | 2015-12-13 |
| 1801057682 | Kelly Ann Vieira | Case Manager/Care Coordinator | 85 Barrows St, Rear Cottage, Somerset, MA 02725-1700 | 2008-06-24 |
| 1508397621 | Sondra Karnbach | Social Worker | 32 Keene St, Somerset, MA 02725-1705 | 2017-03-21 |
| 1922332980 | Melissa Joelle Benevides | Licensed Practical Nurse | 135 Thurber Ave, Somerset, MA 02725-1813 | 2009-09-23 |
| 1083614838 | Jeanine Prevost | Optometrist | 1287 Wilbur Ave, Somerset, MA 02725-1816 | 2005-07-22 |
| 1497944003 | Jeanine Prevost Dba Somerset Eye Care | Optometrist | 1287 Wilbur Ave, Somerset, MA 02725-1816 | 2007-10-19 |
| 1104366541 | Lauren Fardig | Speech-Language Pathologist | 106 Betsy B Ave, Somerset, MA 02725-2125 | 2017-03-05 |
| 1275950545 | Jenny Patel | Physician Assistant | 537 Riverside Ave, Somerset, MA 02725-2843 | 2014-03-25 |
| Find all providers in zip 02725 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518443084 | Taylor Greenstein | Speech-Language Pathologist | 370 Campus Dr Ste 101, Somerset, NJ 08873-1128 | 2018-07-17 |
| 1811482532 | Sarah Amalia Leigh | Speech-Language Pathologist | 770 Woods Edge Drive, Somerset, KY 42503-3983 | 2018-06-25 |
| 1881120780 | Megan Sharon Pruett | Speech-Language Pathologist | 131 Hearthside Dr, Somerset, KY 42503-3803 | 2017-05-11 |
| 1104366541 | Lauren Fardig | Speech-Language Pathologist | 106 Betsy B Ave, Somerset, MA 02725-2125 | 2017-03-05 |
| 1467804484 | Heather Price | Speech-Language Pathologist | 1195 Coin Rd, Somerset, KY 42503-5158 | 2016-07-01 |
| 1356731947 | Kimberly Malcomb Harris | Speech-Language Pathologist | 1056 S. Hwy 27, Suite 9, Somerset, KY 42501 | 2015-02-03 |
| 1346648896 | Heather Pyles | Speech-Language Pathologist | 30 Medpark Dr Ste 3, Somerset, KY 42503-2797 | 2014-12-16 |
| 1467851311 | Samar Tabet | Speech-Language Pathologist | 2 Zapf Ct, Somerset, NJ 08873-5300 | 2014-08-16 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1083959118 | Laura Curry Brownell | Speech-Language Pathologist | 6810 Buckeye Valley Rd Ne, Somerset, OH 43783-9744 | 2012-11-29 |
| Find all providers in SOMERSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.