Christina Myerjack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

28 Dwight PL
Fairfield, NJ 07004-3304

Phone

(973) 882-8822

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• KDDS Too, Inc.

  • Community/Behavioral Health Agency
  • Fairfield, NJ
  • NPI 1477103547
  NPD
• New Beginnings for Tomorrow

  • Developmentally Disabled Services Day Training Agency
  • Fairfield, NJ
  • NPI 1184009383
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1366918351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 KINGSLAND RD",
            "city": "HEWITT",
            "state": "NJ",
            "postal_code": "074211519",
            "telephone_number": "201-906-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 DWIGHT PL",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043304",
            "telephone_number": "973-882-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Parsonage Rd Ste 318",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372429",
            "country_code": "US",
            "telephone_number": "732-204-1635",
            "fax_number": "732-204-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Parsonage Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372429",
            "country_code": "US",
            "telephone_number": "732-204-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERJACK",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Molecular Diagnostics Corp
• Monback L.L.C.
• MSH West Essex Operating LLC
• Spencer Mullen, LPC
• Tariq Mushtaque, M.D. CNIM
• Maral Najarian
• Sol Neill
• Neurophysiologic Interpretive Medicine PLLC
• Neurophysiologic Interpretive Specialists LLC
• Neuroshield Network SE LLC

• Speech-Language Pathologist in Fairfield, NJ
• Providers in Fairfield, 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 Aug 14, 2022; 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.