Provider Demographics
NPI:1689119810
Name:MOSKOVITS, RIVI
Entity Type:Individual
Prefix:
First Name:RIVI
Middle Name:
Last Name:MOSKOVITS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 NOAM LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2155
Mailing Address - Country:US
Mailing Address - Phone:732-730-1382
Mailing Address - Fax:
Practice Address - Street 1:26 NOAM LN
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2155
Practice Address - Country:US
Practice Address - Phone:732-730-1382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-25
Last Update Date:2016-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00484300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist