MEDICARE: HANNAH BIRNBAUM

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12522123	OTHER	NJ	CAQH

General Provider Information

NPI Number	:	1972806180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BIRNBAUM

Provider Business Mailing Address
First Line	:	1 KANSAS DR
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1515
Country	:	US
Telephone Number	:	732-237-5473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 KANSAS DR
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1515
Country	:	US
Telephone Number	:	848-525-7564
Fax Number	:

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

Provider Enumeration Date	:	12/09/2010
Last Update Date	:	12/16/2025

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Directions to “ HANNAH BIRNBAUM ” Practice Location

Language	Start Address	Practice Location

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