Cassidy Dykstra, M.S., CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Hawthorne, NJ
NPI 1114755147 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1114755147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 44 Ekings Ave Apt 2
Hawthorne, NJ 07506-1150 - Phone
- (201) 749-2751
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Franklin St
Suite D
Tenafly, NJ 07670-2146
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260513000157 | NJ | Practitioner - Qualified Speech Language Pathologist | 7214415702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
44 Ekings Ave Apt 2
Hawthorne, NJ 07506-1150
Mailing address
44 Ekings Ave Apt 2
Hawthorne, NJ 07506-1150
Phone (201) 749-2751
Other names
- Cassidy Martin
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All providers in Hawthorne, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.