Individual provider Active NPI

Elif Hajaluga

  • Speech-Language Pathologist
  • Pompton Lakes, NJ
National Provider Identifier
1083117204
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00717800 Issued in NJ
Practice address
200 Wanaque Ave Ste 302B
Pompton Lakes, NJ 07442-2130
Phone
(862) 703-9868
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00717800 NJ Primary

Addresses

Primary practice location

200 Wanaque Ave Ste 302B
Pompton Lakes, NJ 07442-2130

Mailing address

200 Wanaque Ave Ste 302B
Pompton Lakes, NJ 07442-2130
Phone (862) 703-9868

Other practice location 1

566 S Broad St
Glen Rock, NJ 07452-1333
Phone (201) 297-9167

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
41YS00717800NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All 4 Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1083117204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WANAQUE AVE STE 302B",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422130",
            "telephone_number": "862-703-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WANAQUE AVE STE 302B",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422130",
            "telephone_number": "862-703-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074521333",
            "country_code": "US",
            "telephone_number": "201-297-9167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJALUGA",
        "first_name": "ELIF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00717800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.