Marissa D Blakely
Speech-Language Pathologist, in North Haledon, New Jersey
1760304984- Practice location
- 101 Saw Mill RD, North Haledon, NJ 07508-2712
- Phone
- 516-652-0501
- Fax
- —
- Last updated
- July 28, 2026
Marissa D Blakely is a Speech-Language Pathologist, based in North Haledon, NJ. Marissa D Blakely practices in North Haledon, NJ. The NPI Number for Marissa D Blakely is 1760304984 and holds a License No. 41YS00749600 (NJ). The current practice location address for Marissa D Blakely is 101 Saw Mill RD, North Haledon, NJ 07508-2712 and can be reached out via phone at 516-652-0501.
Provider Profile Details
- NPI Number
- 1760304984
- Provider Name
- Marissa D Blakely
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Saw Mill RD, North Haledon, NJ 07508-2712
- Phone Number
- 516-652-0501
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 28, 2026
- Last Update Date
- July 28, 2026
- Certification Date
- July 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Saw Mill RD
North Haledon, NJ 07508-2712 - City
- North Haledon
- State
- New Jersey
- Zip
- 07508-2712
- Phone Number
- 516-652-0501
Provider Business Mailing Address Details
- Address
- 101 Saw Mill RD
North Haledon, NJ 07508-2712 - City
- North Haledon
- State
- NJ
- Zip
- 07508-2712
- Phone Number
- 516-652-0501
License Information
- License Number
- 41YS00749600
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marissa D Blakely?
The NPI number of Marissa D Blakely is 1760304984. It was assigned on July 28, 2026 and is currently active in the NPPES registry.
What is the specialty of Marissa D Blakely?
Marissa D Blakely is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00749600.
Where does Marissa D Blakely practice?
The practice location is 101 Saw Mill RD, North Haledon, NJ 07508-2712. The office can be reached at 516-652-0501 (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 1760304984 directly on the NPPES registry website.