Kristen E Faren

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

O1-0012063 Issued in DE

Practice address

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone

(201) 848-5200

NPI assigned

Nov 4, 2020

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1144821232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DOGWOOD LN",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201066",
            "telephone_number": "201-835-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-848-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREN",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00992200",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0012063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Espinosa, PHYSICAL THERAPIST
• Jill Essery
• Jayna Ewald, PHD
• Gabriella Fama Lorenzo, PT, DPT, OCS
• Families for Families
• Melanie Feller, M.A., CCC-SLP
• Raul Marques Ferreira
• Christine Louise Fischer, DPT
• Fitcare Corporation
• Maria Angela Flores, NP

• Speech-Language Pathologist in Wyckoff, NJ
• Providers in Wyckoff, 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 Mar 30, 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.