Active NPIIndividual providerSole proprietor

Ms. Jessica Fernandez, MS, CCC-SLP

Speech-Language Pathologist, in Millburn, New Jersey

NPI Number1508137621
Practice location
40 Undercliff RD, Millburn, NJ 07041-1510
Fax
—
Last updated
December 31, 2024

Jessica Fernandez is a Speech-Language Pathologist, based in Millburn, NJ. Jessica Fernandez practices in Millburn, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Jessica Fernandez is 1508137621 and holds a License No. 019224 (NY). The current practice location address for Jessica Fernandez is 40 Undercliff RD, Millburn, NJ 07041-1510 and can be reached out via phone at 347-497-3757.

Provider Profile Details

NPI Number
1508137621
Provider Name
Jessica Fernandez
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
40 Undercliff RD, Millburn, NJ 07041-1510
Phone Number
347-497-3757
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2012
Last Update Date
December 31, 2024
Certification Date
December 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Undercliff RD
Millburn, NJ 07041-1510
Zip
07041-1510
Phone Number
347-497-3757
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
40 Undercliff RD
Millburn, NJ 07041-1510
City
Millburn
State
NJ
Zip
07041-1510
Phone Number
347-497-3757

License Information

License Number (1)
019224
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SLP000665
License State (2)
DC
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
2202007020
License State (3)
VA
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X
License Number (4)
41YS01212700
License State (4)
NJ
Taxonomy (4)
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 Ms. Jessica Fernandez, MS, CCC-SLP?

The NPI number of Ms. Jessica Fernandez, MS, CCC-SLP is 1508137621. It was assigned on January 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica Fernandez, MS, CCC-SLP?

Ms. Jessica Fernandez, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 019224.

Where does Ms. Jessica Fernandez, MS, CCC-SLP practice?

The practice location is 40 Undercliff RD, Millburn, NJ 07041-1510. The office can be reached at 347-497-3757 (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 1508137621 directly on the NPPES registry website.

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