Active NPI
Nicole Makowski
- Speech-Language Pathologist
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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.
-
- Speech-Language Pathologist
- Montclair, NJ
- NPI 1932585593
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.