Active NPIIndividual providerSole proprietor

Nicole Khanutin

Speech-Language Pathologist, in Montvale, New Jersey

NPI Number1679361877
Practice location
11 Olde Woods Ln, Montvale, NJ 07645-1743
Fax
—
Last updated
September 8, 2025

Nicole Khanutin is a Speech-Language Pathologist, based in Montvale, NJ. Nicole Khanutin practices in Montvale, NJ. The NPI Number for Nicole Khanutin is 1679361877 and holds a License No. 035443 (NY). The current practice location address for Nicole Khanutin is 11 Olde Woods Ln, Montvale, NJ 07645-1743 and can be reached out via phone at 201-962-6059.

Provider Profile Details

NPI Number
1679361877
Provider Name
Nicole Khanutin
Provider Entity Type
Individual
Gender
Female
Address
11 Olde Woods Ln, Montvale, NJ 07645-1743
Phone Number
201-962-6059
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2025
Last Update Date
September 8, 2025
Certification Date
September 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Olde Woods Ln
Montvale, NJ 07645-1743
Zip
07645-1743
Phone Number
201-962-6059
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
11 Olde Woods Ln
Montvale, NJ 07645-1743
City
Montvale
State
NJ
Zip
07645-1743
Phone Number
201-962-6059

License Information

License Number
035443
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 Khanutin?

The NPI number of Nicole Khanutin is 1679361877. It was assigned on April 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Nicole Khanutin?

Nicole Khanutin is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 035443.

Where does Nicole Khanutin practice?

The practice location is 11 Olde Woods Ln, Montvale, NJ 07645-1743. The office can be reached at 201-962-6059 (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 1679361877 directly on the NPPES registry website.

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