Evette Minkiewicz, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01058300 Issued in NJ

Practice address

110 White Rock Rd Apt 3203
Verona, NJ 07044-1526

Phone

(201) 245-4457

NPI assigned

Dec 20, 2020

Last updated

Oct 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1326634668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WHITE ROCK RD APT 3203",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441526",
            "telephone_number": "201-245-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WHITE ROCK RD APT 3203",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441526",
            "telephone_number": "201-245-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIEWICZ",
        "first_name": "EVETTE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01058300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Clarity Outpatient Services LLC
• Anthony Meyer, DO
• Michael C Milano MD LLC
• George Walter Miller Jr., M.D.
• Mine Hill Anesthesia LLC
• Tina Moheb, D.M.D.
• Michael Molinaro
• Montclair Chiropractic
• Montclair Hospital LLC (Mountainside Family Practice Associates)
• Allison Montick, LCSW

• Speech-Language Pathologist in Verona, NJ
• Providers in Verona, 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 Oct 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.