Active NPIIndividual provider

Kelley Schupak

Speech-Language Pathologist, in Fair Lawn, New Jersey

NPI Number1467998211
Practice location
5-11 Saddle River RD, Fair Lawn, NJ 07410-5635
Fax
—
Last updated
January 17, 2017

Kelley Schupak is a Speech-Language Pathologist, based in Fair Lawn, NJ. Kelley Schupak practices in Fair Lawn, NJ. The NPI Number for Kelley Schupak is 1467998211 and holds a License No. 41YS00853700 (NJ). The current practice location address for Kelley Schupak is 5-11 Saddle River RD, Fair Lawn, NJ 07410-5635 and can be reached out via phone at 201-509-8205.

Provider Profile Details

NPI Number
1467998211
Provider Name
Kelley Schupak
Provider Entity Type
Individual
Gender
Female
Address
5-11 Saddle River RD, Fair Lawn, NJ 07410-5635
Phone Number
201-509-8205
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2017
Last Update Date
January 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
5-11 Saddle River RD
Fair Lawn, NJ 07410-5635
Zip
07410-5635
Phone Number
201-509-8205
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
914 Grandview Ave
Westfield, NJ 07090-1629
City
Westfield
State
NJ
Zip
07090-1629
Phone Number
908-577-1190

License Information

License Number
41YS00853700
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 Kelley Schupak?

The NPI number of Kelley Schupak is 1467998211. It was assigned on January 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelley Schupak?

Kelley Schupak is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00853700.

Where does Kelley Schupak practice?

The practice location is 5-11 Saddle River RD, Fair Lawn, NJ 07410-5635. The office can be reached at 201-509-8205 (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 1467998211 directly on the NPPES registry website.

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