Kevin Kehoe, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01137700 Issued in NJ

Practice address

217 Brook Ave Ste 201
Passaic, NJ 07055-3357

Phone

(973) 558-0105

NPI assigned

Mar 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1629779806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BROOK AVE STE 201",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BROOK AVE STE 201",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553357",
            "telephone_number": "973-558-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01137700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamar Katz
• Eliezer Kaufman, LCSW
• Manreet Kaur, LSW
• Hooria Kazi, MD
• Deirdre Marguerite Keegan, L.C.S.W.
• Adina Kerzner, LCSW
• Anas Khoury, D.P.M.
• Diana Khukhashvili, LMSW
• Kids Club ABA NJ LLC
• Kids Club ABA NJ LLC

• Speech-Language Pathologist in Passaic, NJ
• Providers in Passaic, 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 Mar 14, 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.