Nicole Scalice, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00827900 Issued in NJ

Practice address

11 Banta Rd
Kinnelon, NJ 07405-2514

Phone

(973) 858-5996

Fax

(973) 314-8552

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Small Talk Speech NJ LLC

  • Speech-Language Pathologist
  • Kinnelon, NJ
  • NPI 1588347603
  NPD Authorized official
• Speak Your Mind, Speech Pathology Servies

  • Speech-Language Pathologist
  • Randolph, NJ
  • NPI 1912236399
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1255810891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KIEL AVE # 111",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052572",
            "telephone_number": "973-858-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BANTA RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052514",
            "telephone_number": "973-858-5996",
            "fax_number": "973-314-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Mountainside Dr",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "NJ",
            "postal_code": "078692309",
            "country_code": "US",
            "telephone_number": "862-244-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALICE",
        "first_name": "NICOLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00827900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy M Rodriguez, M.S.W., L.C.S.W.
• Harry Osband Rohrer, DDS
• Jared James Ruban, LMT
• Gabriella A Ruocco, LMSW
• Chelsea Russo, CCC-SLP
• Samantha J Scarnato, PSY.D.
• Justine Brittany Schepis
• Select Electrical Services LLC
• Neelam Sharma, M.D
• Shiksha R Sharma, M.D

• Speech-Language Pathologist in Kinnelon, NJ
• Providers in Kinnelon, 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 Apr 17, 2024; 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.