Active NPIIndividual provider

Michelle Kelly, CCC-SLP

Speech-Language Pathologist, in Midland Park, New Jersey

NPI Number1053729202
Practice location
85 Godwin Ave, Midland Park, NJ 07432-1970
Fax
201-639-8874
Last updated
March 30, 2021

Michelle Kelly is a Speech-Language Pathologist, based in Midland Park, NJ. Michelle Kelly practices in Midland Park, NJ and has the professional credentials of CCC-SLP. The NPI Number for Michelle Kelly is 1053729202 and holds a License No. 41YS00654800 (NJ). The current practice location address for Michelle Kelly is 85 Godwin Ave, Midland Park, NJ 07432-1970 and can be reached out via phone at 201-639-8870 and via fax at 201-639-8874.

Provider Profile Details

NPI Number
1053729202
Provider Name
Michelle Kelly
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
85 Godwin Ave, Midland Park, NJ 07432-1970
Phone Number
201-639-8870
Fax Number
201-639-8874
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2014
Last Update Date
March 30, 2021
Certification Date
March 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Godwin Ave
Midland Park, NJ 07432-1970
Zip
07432-1970
Phone Number
201-639-8870
Fax Number
201-639-8874
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
City
Islandia
State
NY
Zip
11749-5258
Phone Number
631-580-5200
Fax Number
631-760-8306

License Information

License Number
41YS00654800
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Kelly, CCC-SLP?

The NPI number of Michelle Kelly, CCC-SLP is 1053729202. It was assigned on July 31, 2014 and is currently active in the NPPES registry.

What is the specialty of Michelle Kelly, CCC-SLP?

Michelle Kelly, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00654800.

Where does Michelle Kelly, CCC-SLP practice?

The practice location is 85 Godwin Ave, Midland Park, NJ 07432-1970. The office can be reached at 201-639-8870 (phone) or 201-639-8874 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053729202 directly on the NPPES registry website.

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