Active NPI
Jeremie Hafitz, LLC
- Speech-Language Pathologist
- Glen Ridge, NJ
National Provider Identifier
1104300052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- JEREMIE HAFITZ, LLC
- Practice address
- 27 Wildwood Ter
Glen Ridge, NJ 07028-2310 - Phone
- (973) 743-6032
- Fax
- (973) 276-9062
- NPI assigned
- Sep 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremie Hafitz, MPHIL, C.C.C.
- Title
- Speech-Language Pathologist
- Phone
- (973) 743-6032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
27 Wildwood Ter
Glen Ridge, NJ 07028-2310
Mailing address
27 Wildwood Ter
Glen Ridge, NJ 07028-2310
Phone (973) 743-6032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00242100 | Other | NJ | SPEECH LANGUAGE PATHOLOGY LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Glen Ridge, NJ
- NPI 1497194880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537142400000",
"number": "1104300052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WILDWOOD TER",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070282310",
"telephone_number": "973-743-6032",
"fax_number": "973-276-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WILDWOOD TER",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070282310",
"telephone_number": "973-743-6032",
"fax_number": "973-276-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMIE HAFITZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A",
"authorized_official_last_name": "HAFITZ",
"authorized_official_first_name": "JEREMIE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "973-743-6032",
"authorized_official_credential": "MPHIL, C.C.C."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
"identifier": "41YS00242100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.