Individual provider Active NPI

Hannah Zadoyko

  • Speech-Language Pathologist
  • Lafayette, NJ
National Provider Identifier
1366115289
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3632 Issued in NJ
Practice address
156 State Route 15
Lafayette, NJ 07848-2607
Phone
(973) 862-6377
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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-3632 NJ Primary

Addresses

Primary practice location

156 State Route 15
Lafayette, NJ 07848-2607

Mailing address

10 Romain Ave
Pompton Lakes, NJ 07442-1202
Phone (973) 525-9462

Other practice location 1

10 Romain Ave
Pompton Lakes, NJ 07442-1202
Phone (973) 525-9462

Other identifiers 1

IdentifierTypeStateIssuer
TL-3632OtherNJLICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL hannah.zadoyko@yahoo.com

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

State licenses

LicenseStateTypeSpecialty
TL-3632NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Physical Therapy CurrentSince Aug 1, 2021 Accepting new patients
Performance Pediatrics Speech-Language Pathologist PastSince Aug 1, 2021 Accepting new patients

Locations

156 State Route 15
Lafayette, NJ 07848
Phone (973) 237-1975

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, 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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1366115289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROMAIN AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421202",
            "telephone_number": "973-525-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 STATE ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078482607",
            "telephone_number": "973-862-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Romain Ave",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "074421202",
            "country_code": "US",
            "telephone_number": "973-525-9462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADOYKO",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "TL-3632",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "hannah.zadoyko@yahoo.com",
            "affiliation": "N",
            "address_1": "156 State Route 15",
            "city": "Lafayette",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078482607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.