Active NPI
Patricia A Polizzi-Walker, MS, CCC/SLP
- Speech-Language Pathologist
- Ho Ho Kus, NJ
National Provider Identifier
1639826696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- YS00329200
- Practice address
- 11 Sutton Dr
Ho Ho Kus, NJ 07423-1024 - Phone
- (201) 892-7229
- NPI assigned
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | YS00329200 | NJ | Primary |
Addresses
Primary practice location
11 Sutton Dr
Ho Ho Kus, NJ 07423-1024
Mailing address
11 Sutton Dr
Ho Ho Kus, NJ 07423-1024
Phone (201) 892-7229
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| YS00329200 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1639826696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SUTTON DR",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231024",
"telephone_number": "201-892-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SUTTON DR",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231024",
"telephone_number": "201-892-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIZZI-WALKER",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "YS00329200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ho Ho Kus, NJ
- Sabine Elizabeth Page, DMD
- Patricia M. Hicks MD PA
- Personal Best Rehab PT PC
- Kaitlyn Cooney Peters, NP
- Noel F Plasker, D.C.
- Peter Nicholas Ponzini, D.C.
- Positive Solutions LLC
- Premier Oral Surgery of Ho-Ho-Kus PC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Prosthodontic Associates of Hohokus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.