Healthcare Provider Details

I. General information

NPI: 1295641389
Provider Name (Legal Business Name): BLOOMING VOICES PEDIATRIC SPEECH AND LANGUAGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WELLS PL
MIDDLESEX NJ
08846-1311
US

IV. Provider business mailing address

458 ELIZABETH AVE STE 5-321
SOMERSET NJ
08873-5110
US

V. Phone/Fax

Practice location:
  • Phone: 848-343-9623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SIMONA VIRA
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP, TSSLD
Phone: 917-769-4122