Active NPIIndividual provider

Alexis Bolivar, MA CCC-SLP

Speech-Language Pathologist, in East Orange, New Jersey

NPI Number1891165668
Practice location
2 Irving St, East Orange, NJ 07018-1914
Fax
973-766-1704
Last updated
October 5, 2015

Alexis Bolivar is a Speech-Language Pathologist, based in East Orange, NJ. Alexis Bolivar practices in East Orange, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Alexis Bolivar is 1891165668 and holds a License No. 41YS00576500 (NJ). The current practice location address for Alexis Bolivar is 2 Irving St, East Orange, NJ 07018-1914 and can be reached out via phone at 201-647-9319 and via fax at 973-766-1704.

Provider Profile Details

NPI Number
1891165668
Provider Name
Alexis Bolivar
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
2 Irving St, East Orange, NJ 07018-1914
Phone Number
201-647-9319
Fax Number
973-766-1704
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2015
Last Update Date
October 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Irving St
East Orange, NJ 07018-1914
Zip
07018-1914
Phone Number
201-647-9319
Fax Number
973-766-1704
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
2 Irving St
East Orange, NJ 07018-1914
City
East Orange
State
NJ
Zip
07018-1914
Phone Number
201-647-9319
Fax Number
973-766-1704

License Information

License Number
41YS00576500
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 Alexis Bolivar, MA CCC-SLP?

The NPI number of Alexis Bolivar, MA CCC-SLP is 1891165668. It was assigned on October 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Alexis Bolivar, MA CCC-SLP?

Alexis Bolivar, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00576500.

Where does Alexis Bolivar, MA CCC-SLP practice?

The practice location is 2 Irving St, East Orange, NJ 07018-1914. The office can be reached at 201-647-9319 (phone) or 973-766-1704 (fax).

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 1891165668 directly on the NPPES registry website.

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