Mica Sylvester, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01078600 Issued in NJ

Practice address

67 Valley View Ave
Summit, NJ 07901-2312

Phone

(516) 971-5344

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1649933664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 VALLEY VIEW AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012312",
            "telephone_number": "516-971-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 VALLEY VIEW AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012312",
            "telephone_number": "516-971-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "MICA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01078600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rachaelcortese.com",
            "affiliation": "N",
            "endpointDescription": "business url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "67 Valley View Ave",
            "city": "Summit",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079012312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summit Urologic Associates
• Sunrise of Summit, LLC
• Robert Sussman, M.D.
• Phuong T Sutherland, M.D.
• Syeda I Hasan, M.D.P.C
• Claudine T Pierre, APN
• Philip Kwadwo Tabi, MD
• Maria Tabone
• Vani Tadisina, M.D.
• Fatimah Tahil, MD

• Speech-Language Pathologist in Summit, NJ
• Providers in Summit, 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 Oct 17, 2021; 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.