Active NPIIndividual providerSole proprietor

Eileen A Fasanella

Speech-Language Pathologist, in Montclair, New Jersey

NPI Number1194303073
Practice location
2 Woodmont RD, Montclair, NJ 07043-2500
Fax
—
Last updated
March 31, 2021

Eileen Anne Fasanella is a Speech-Language Pathologist, based in Montclair, NJ. Eileen Anne Fasanella practices in Montclair, NJ. The NPI Number for Eileen Anne Fasanella is 1194303073 and holds a License No. 41YS00206300 (NJ). The current practice location address for Eileen Anne Fasanella is 2 Woodmont RD, Montclair, NJ 07043-2500 and can be reached out via phone at 973-818-2164.

Provider Profile Details

NPI Number
1194303073
Provider Name
Eileen Anne Fasanella
Provider Entity Type
Individual
Gender
Female
Address
2 Woodmont RD, Montclair, NJ 07043-2500
Phone Number
973-818-2164
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2021
Last Update Date
March 31, 2021
Certification Date
March 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Woodmont RD
Montclair, NJ 07043-2500
Zip
07043-2500
Phone Number
973-818-2164
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
2 Woodmont RD
Montclair, NJ 07043-2500
City
Montclair
State
NJ
Zip
07043-2500
Phone Number
973-818-2164

License Information

License Number
41YS00206300
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 Eileen A Fasanella?

The NPI number of Eileen A Fasanella is 1194303073. It was assigned on March 31, 2021 and is currently active in the NPPES registry.

What is the specialty of Eileen A Fasanella?

Eileen A Fasanella is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00206300.

Where does Eileen A Fasanella practice?

The practice location is 2 Woodmont RD, Montclair, NJ 07043-2500. The office can be reached at 973-818-2164 (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 1194303073 directly on the NPPES registry website.

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