Individual provider Active NPI

Diana Aida Scalici

  • Speech-Language Pathologist
  • Tenafly, NJ
National Provider Identifier
1609333426
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00904000 Issued in NJ
Practice address
120 County Rd Ste 101
Tenafly, NJ 07670-1854
Phone
(201) 894-5800
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 41YS00904000 NJ Primary

Addresses

Primary practice location

120 County Rd Ste 101
Tenafly, NJ 07670-1854

Mailing address

407 Memorial Pkwy
Bloomfield, NJ 07003-4266
Phone (908) 907-1940

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
41YS00904000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Consortium Current Accepting new patients
The Occupational Therapy Center Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1609333426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MEMORIAL PKWY",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034266",
            "telephone_number": "908-907-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD STE 101",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-894-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALICI",
        "first_name": "DIANA",
        "middle_name": "AIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00904000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.