Active NPI
Nicole Dipaola, SLP
- Speech-Language Pathologist
- Teaneck, NJ
National Provider Identifier
1699550277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01259500
- Practice address
- 111 Galway PL
Teaneck, NJ 07666-3640 - Phone
- (201) 837-8371
- Fax
- (201) 837-1668
- NPI assigned
- Aug 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TL-3978 | NJ | |
| Speech-Language Pathologist | 235Z00000X | 41YS01259500 | NJ | Primary |
Addresses
Primary practice location
111 Galway PL
Teaneck, NJ 07666-3640
Mailing address
111 Galway PL
Teaneck, NJ 07666-3640
Phone (201) 837-8371
Other names 1
- Nicole Jaque
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01259500 | NJ | MD | Speech-Language Pathologist |
| TL-3978 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
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.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
NJ, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1699550277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GALWAY PL",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663640",
"telephone_number": "201-837-8371",
"fax_number": "201-837-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GALWAY PL",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663640",
"telephone_number": "201-837-8371",
"fax_number": "201-837-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPAOLA",
"first_name": "NICOLE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "TL-3978",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS01259500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "JAQUE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.