Jessica Rori Kaufman

Individual provider Active NPI Speech-Language Pathologist · Springfield, NJ

NPI 1134828999 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1134828999
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4Y1S00599900 (NJ)
Practice address
54 Ronald Ter
Springfield, NJ 07081-3417
Phone
(732) 259-0370
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4Y1S00599900NJMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4Y1S00599900 NJ Yes

Addresses

Primary practice location

54 Ronald Ter
Springfield, NJ 07081-3417

Mailing address

54 Ronald Ter
Springfield, NJ 07081-3417
Phone (732) 259-0370

Other providers in Springfield, NJ

All providers in Springfield, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.