Individual provider Active NPI

Karen Andrea Kabaki, CCC-SLP

  • Speech-Language Pathologist
  • Clifton, NJ
National Provider Identifier
1437534484
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
YS03611 Issued in NJ
Practice address
138 Riverwalk Way
Clifton, NJ 07014-1729
Phone
(973) 930-7362
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 010982-1 NY
Speech-Language Pathologist 235Z00000X YS03611 NJ Primary

Addresses

Primary practice location

138 Riverwalk Way
Clifton, NJ 07014-1729

Mailing address

138 Riverwalk Way
Clifton, NJ 07014-1729
Phone (973) 930-7362

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
010982-1NYMDClinical Psychologist
YS03611NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1437534484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 RIVERWALK WAY",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141729",
            "telephone_number": "973-930-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 RIVERWALK WAY",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141729",
            "telephone_number": "973-930-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAKI",
        "first_name": "KAREN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010982-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS03611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.