Individual provider Active NPI

Yaniles Nunez Jaquez

  • Speech-Language Pathologist
  • Bound Brook, NJ
National Provider Identifier
1346953353
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-4482 Issued in NJ
Practice address
1952 US Highway 22
Bound Brook, NJ 08805-1545
Phone
(908) 967-6214
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 TL-4482 NJ Primary

Addresses

Primary practice location

1952 US Highway 22
Bound Brook, NJ 08805-1545

Mailing address

1952 US Highway 22
Bound Brook, NJ 08805-1545
Phone (908) 967-6214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251221000166 NJ Practitioner - Qualified Speech Language Pathologist 1153816749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Therapy ServicesGroup PAC ID 0840519278, 11 clinicians

Practice addresses (Care Compare)

121 Shelley Dr
Suite 2D
Hackettstown, NJ 07840-2530
Phone (201) 787-6786

131 Madison Ave
FL 3
Morristown, NJ 07960-7360
Phone (201) 787-6786

228 Stratford PL
Lakewood, NJ 08701-1469
Phone (908) 644-0228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TL-4482NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Speech Therapy Associates, Limited Liability Company Speech-Language Pathologist CurrentSince Nov 1, 2025 Accepting new patients
Momentum Therapy Services Speech-Language Pathologist CurrentSince Jan 17, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1346953353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 US HIGHWAY 22",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051545",
            "telephone_number": "908-967-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 US HIGHWAY 22",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051545",
            "telephone_number": "908-967-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ JAQUEZ",
        "first_name": "YANILES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-4482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.