Active NPIIndividual provider

Nicole Johnson, MA, CCC-SLP

Speech-Language Pathologist, in Avenel, New Jersey

NPI Number1659934420
Practice location
1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188
Fax
—
Last updated
April 16, 2021

Nicole Johnson is a Speech-Language Pathologist, based in Avenel, NJ. Nicole Johnson practices in Avenel, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Nicole Johnson is 1659934420 and holds a License No. 027568-1 (NY). The current practice location address for Nicole Johnson is 1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188 and can be reached out via phone at 917-868-1390.

Provider Profile Details

NPI Number
1659934420
Provider Name
Nicole Johnson
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188
Phone Number
917-868-1390
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2019
Last Update Date
April 16, 2021
Certification Date
April 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Saint Georges Ave Apt 303
Avenel, NJ 07001-1188
City
Avenel
Zip
07001-1188
Phone Number
917-868-1390
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1400 Saint Georges Ave Apt 303
Avenel, NJ 07001-1188
City
Avenel
State
NJ
Zip
07001-1188
Phone Number
917-868-1390

License Information

License Number
027568-1
License State
NY
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 Nicole Johnson, MA, CCC-SLP?

The NPI number of Nicole Johnson, MA, CCC-SLP is 1659934420. It was assigned on April 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicole Johnson, MA, CCC-SLP?

Nicole Johnson, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 027568-1.

Where does Nicole Johnson, MA, CCC-SLP practice?

The practice location is 1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188. The office can be reached at 917-868-1390 (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 1659934420 directly on the NPPES registry website.

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