Active NPIIndividual providerSole proprietor

Jennifer Federico, MA CCC-SLP

Speech-Language Pathologist, in Montclair, New Jersey

NPI Number1831705276
Practice location
79 Montclair Ave, Montclair, NJ 07042-4128
Fax
—
Last updated
April 23, 2021

Jennifer Federico is a Speech-Language Pathologist, based in Montclair, NJ. Jennifer Federico practices in Montclair, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Jennifer Federico is 1831705276 and holds a License No. 41YS01047400 (NJ). The current practice location address for Jennifer Federico is 79 Montclair Ave, Montclair, NJ 07042-4128 and can be reached out via phone at 646-571-8393.

Provider Profile Details

NPI Number
1831705276
Provider Name
Jennifer Federico
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
79 Montclair Ave, Montclair, NJ 07042-4128
Phone Number
646-571-8393
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2020
Last Update Date
April 23, 2021
Certification Date
April 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Montclair Ave
Montclair, NJ 07042-4128
Zip
07042-4128
Phone Number
646-571-8393
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
79 Montclair Ave
Montclair, NJ 07042-4128
City
Montclair
State
NJ
Zip
07042-4128
Phone Number
646-571-8393

License Information

License Number
41YS01047400
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 Jennifer Federico, MA CCC-SLP?

The NPI number of Jennifer Federico, MA CCC-SLP is 1831705276. It was assigned on September 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Jennifer Federico, MA CCC-SLP?

Jennifer Federico, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01047400.

Where does Jennifer Federico, MA CCC-SLP practice?

The practice location is 79 Montclair Ave, Montclair, NJ 07042-4128. The office can be reached at 646-571-8393 (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 1831705276 directly on the NPPES registry website.

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