Individual provider Active NPI

Jacqueline Follety, CCC-SLP

  • Speech-Language Pathologist
  • River Edge, NJ
National Provider Identifier
1346855319
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
38 River Edge Rd # B
River Edge, NJ 07661-2442
Phone
(201) 843-3274
NPI assigned
Sep 15, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

38 River Edge Rd # B
River Edge, NJ 07661-2442

Mailing address

130 W Pleasant Ave # 344
Maywood, NJ 07607-1335

Other identifiers 1

IdentifierTypeStateIssuer
1538596903OtherNJTRADITIONAL INSURANCE

Other names 1

  • Ms. Jackie Follety Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.heart2heart4autism.com/ Heart to Heart & Associates LLC

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart & Associates LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346855319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PLEASANT AVE # 344",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 RIVER EDGE RD # B",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612442",
            "telephone_number": "201-843-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLETY",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL INSURANCE",
            "identifier": "1538596903",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.heart2heart4autism.com/",
            "affiliation": "Y",
            "affiliationName": "Heart to Heart & Associates LLC",
            "address_1": "38 River Edge Rd",
            "city": "River Edge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076612442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "FOLLETY",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.