Individual provider Active NPI

Nicole Makowski

  • Speech-Language Pathologist
  • Montclair, NJ
National Provider Identifier
1528510906
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
17 Watchung PLZ
Montclair, NJ 07042-4117
Phone
(973) 744-0804
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 Primary

Addresses

Primary practice location

17 Watchung PLZ
Montclair, NJ 07042-4117

Mailing address

491 Bloomfield Ave Ste 204
Montclair, NJ 07042-3406
Phone (862) 621-9390

Other practice location 1

491 Bloomfield Ave Ste 204
Montclair, NJ 07042-3406
Phone (862) 621-9390

Other practice location 2

527 Wrightstown Sykesville Rd
Building C Unit 15
Wrightstown, NJ 08562-1530
Phone (609) 316-0195

Other practice location 3

333 Bloomfield Ave Ste 102
Caldwell, NJ 07006-5105
Phone (862) 621-9390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002906 NJ Practitioner - Qualified Speech Language Pathologist 5991165318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lori Speaks, LLCGroup PAC ID 0446569644, 16 clinicians

Practice addresses (Care Compare)

17 Watchung PLZ
Montclair, NJ 07042-4117
Phone (973) 744-0804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1528510906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BLOOMFIELD AVE STE 204",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423406",
            "telephone_number": "862-621-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WATCHUNG PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-744-0804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Bloomfield Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423406",
            "country_code": "US",
            "telephone_number": "862-621-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Wrightstown Sykesville Rd",
            "address_2": "Building C Unit 15",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "NJ",
            "postal_code": "085621530",
            "country_code": "US",
            "telephone_number": "609-316-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Bloomfield Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "NJ",
            "postal_code": "070065105",
            "country_code": "US",
            "telephone_number": "862-621-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.