Active NPI
Craig Clary
- Speech-Language Pathologist
- Tenafly, NJ
National Provider Identifier
1316311129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TL-2554
- Practice address
- 55 Hudson Ave
Tenafly, NJ 07670-1027 - Phone
- (718) 780-7828
- NPI assigned
- Nov 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TL-2554 | NJ | Primary |
Addresses
Primary practice location
55 Hudson Ave
Tenafly, NJ 07670-1027
Mailing address
55 Hudson Ave
Tenafly, NJ 07670-1027
Phone (718) 780-7828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL-2554 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1316311129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HUDSON AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701027",
"telephone_number": "718-780-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HUDSON AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701027",
"telephone_number": "718-780-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "CRAIG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-17",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "TL-2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
- Lynn Christensen, CLC, LCCE, CD
- Marios Christodoulou, PT, DPT
- Chung Psychotherapy LCSW LLC (Heart to Heart counseling)
- Jacob Hanbid Chung, MD
- Circathera Corp
- Gil Cnaani
- County Manor Rehabilitation & Health Care Center (County Manor Rehabilitation and Health Care Center)
- Virginia S Cowen, PHD, MT
- Enrico Gabriel Cruz, CCC-SLP
- Renee Katherine Cuomo, DDS, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.