Individual provider Active NPI

Dominique Iacovelli

  • Speech-Language Pathologist
  • Westfield, NJ
National Provider Identifier
1679153308
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
121 S Euclid Ave
Westfield, NJ 07090-2129
Phone
(900) 232-2903
Fax
(908) 232-3583
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 Primary

Addresses

Primary practice location

121 S Euclid Ave
Westfield, NJ 07090-2129

Mailing address

121 S Euclid Ave
Westfield, NJ 07090-2129
Phone (900) 232-2903

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

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Hearing Associates LLC Speech-Language Pathologist CurrentSince Apr 11, 2021 Accepting new patients

Locations

3155 State Route 10
Ste 212
Denville, NJ 07834
Phone (973) 664-6990

810 Abbott Blvd
Fort Lee, NJ 07024
Phone (201) 224-3200

275 Paterson Ave
Little Falls, NJ 07424
Phone (973) 330-6765

784 Chimney Rock Rd
Ste E
Martinsville, NJ 08836
Phone (732) 302-1860

225 Bridge St
Bldg E
Metuchen, NJ 08840
Phone (732) 221-2509

74 Pascack Rd
Ste 7
Park Ridge, NJ 07656
Phone (201) 775-5699

556 Eagle Rock Ave
Ste 105
Roseland, NJ 07068
Phone (973) 763-2841

150 Flanagan Way
Secaucus, NJ 07094
Phone (201) 319-0010

121 S Euclid Ave
Westfield, NJ 07090
Phone (908) 232-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1679153308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902129",
            "telephone_number": "900-232-2903",
            "fax_number": "908-232-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902129",
            "telephone_number": "900-232-2903",
            "fax_number": "908-232-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVELLI",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.