Jeremie Hafitz, MS, MPHIL, C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00242100 Issued in NJ

Practice address

27 Wildwood Ter
Glen Ridge, NJ 07028-2310

Phone

(973) 743-6032

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Miriam J Hafitz-Ross Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Jeremie Hafitz, LLC

  • Speech-Language Pathologist
  • Glen Ridge, NJ
  • NPI 1104300052
  NPD (past) Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1497194880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILDWOOD TER",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282310",
            "telephone_number": "973-743-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WILDWOOD TER",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282310",
            "telephone_number": "973-743-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFITZ",
        "first_name": "JEREMIE",
        "name_prefix": "Ms.",
        "credential": "MS, MPHIL, C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00242100",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003095-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "HAFITZ-ROSS",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "MS, MPHIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elliana Olstein Goldberg, MSW
• Anthony Goss
• David A. Green, M.D.
• Anjali Grover, M.D.
• Daniela Guimaraes, APN
• Health Essentials Plus
• Donna M Heinzen, PA
• Robert Hertel, PHD
• Christina Marie Hess, NP
• Kenneth Neil Holwitt, M.D.

• Speech-Language Pathologist in Glen Ridge, NJ
• Providers in Glen Ridge, 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 Jun 18, 2013; 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.