Individual provider Active NPI

Nancy Young, SLP

  • Speech-Language Pathologist
  • Pequannock, NJ
National Provider Identifier
1003242868
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00738000 Issued in NJ
Practice address
7 Slingerland Ave
Pequannock, NJ 07440
Phone
(739) 694-6832
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL013406 PA
Speech-Language Pathologist 235Z00000X 41YS00738000 NJ Primary

Addresses

Primary practice location

7 Slingerland Ave
Pequannock, NJ 07440

Mailing address

7 Slingerland Ave
Pequannock, NJ 07440-1804
Phone (739) 694-6832

Other practice location 1

455 Colonial Ter
Hackensack, NJ 07601-1403
Phone (201) 753-3638

Other identifiers 1

IdentifierTypeStateIssuer
12140092OtherASHA

Other names 1

  • Nancy Zarnowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41YS00738000NJMDSpeech-Language Pathologist
SL013406PAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1003242868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SLINGERLAND AVE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401804",
            "telephone_number": "739-694-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SLINGERLAND AVE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "07440",
            "telephone_number": "739-694-6832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Colonial Ter",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011403",
            "country_code": "US",
            "telephone_number": "201-753-3638",
            "fax_number": "201-880-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NANCY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013406",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00738000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12140092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ZARNOWSKI",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pequannock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.