Kristopher Cleary

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00832900 Issued in NJ

Practice address

201 S Main St BLDG a
Lambertville, NJ 08530-1800

Phone

(609) 397-7200

NPI assigned

Mar 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1033503149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST BLDG A",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085301800",
            "telephone_number": "609-397-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST BLDG A",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085301800",
            "telephone_number": "609-397-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "KRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00832900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Bouchamoun, RD, LDN
• Julie Ann Buranelli, LCSW
• Melissa Burgos, MD
• Venus Butardo
• Patricia G. Chichon, RN APNC
• Barbara Cole Kiernan, LCSW
• Community Options, Inc
• Tracey Comune, D.C.
• Carrie E Corboy, RPH, PHARMD
• Nicole M Costantini

• Speech-Language Pathologist in Lambertville, NJ
• Providers in Lambertville, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.