Active NPIIndividual providerSole proprietor

Jillian C Gradzki, MS CF- SLP

Speech-Language Pathologist, in Montville, New Jersey

NPI Number1063756476
Practice location
165 Changebridge RD, Montville, NJ 07045-9563
Fax
—
Last updated
November 26, 2012

Jillian C Gradzki is a Speech-Language Pathologist, based in Montville, NJ. Jillian C Gradzki practices in Montville, NJ and has the professional credentials of MS CF- SLP. The NPI Number for Jillian C Gradzki is 1063756476 and holds a License No. TL-2087 (NJ). The current practice location address for Jillian C Gradzki is 165 Changebridge RD, Montville, NJ 07045-9563 and can be reached out via phone at 973-299-2552.

Provider Profile Details

NPI Number
1063756476
Provider Name
Jillian C Gradzki
Credential
MS CF- SLP
Provider Entity Type
Individual
Gender
Female
Address
165 Changebridge RD, Montville, NJ 07045-9563
Phone Number
973-299-2552
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2012
Last Update Date
November 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Changebridge RD
Montville, NJ 07045-9563
Zip
07045-9563
Phone Number
973-299-2552
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
148 Knollwood Ter
Clifton, NJ 07012-2334
City
Clifton
State
NJ
Zip
07012-2334
Phone Number
201-563-7393

License Information

License Number
TL-2087
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 Jillian C Gradzki, MS CF- SLP?

The NPI number of Jillian C Gradzki, MS CF- SLP is 1063756476. It was assigned on November 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Jillian C Gradzki, MS CF- SLP?

Jillian C Gradzki, MS CF- SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number TL-2087.

Where does Jillian C Gradzki, MS CF- SLP practice?

The practice location is 165 Changebridge RD, Montville, NJ 07045-9563. The office can be reached at 973-299-2552 (phone).

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 1063756476 directly on the NPPES registry website.

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