MEDICARE: SHAINDEL BAUMWOLSPINER CF- SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	TL-4916	NJ

General Provider Information

NPI Number	:	1972468700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAINDEL BAUMWOLSPINER CF- SLP

Provider Business Mailing Address
First Line	:	4 EAGLE LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4964
Country	:	US
Telephone Number	:	848-210-3555
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4738
Country	:	US
Telephone Number	:	848-210-3555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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