Michele Demarest, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00582700 Issued in NJ

Practice address

313 South Ave
Fanwood, NJ 07023-1364

Phone

(908) 301-2506

NPI assigned

Jun 3, 2009

Sex

Female

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

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Morris Speech Therapy Associates, Limited Liability CompanyGroup PAC ID 1153565882, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Morris Speech Therapy Associates, Limited Liability Company

  • Speech-Language Pathologist
  • Morristown, NJ
  • NPI 1407295603
  Medicare reassignment Care Compare group NPD Authorized official
• Neuropsychology & Counseling Associates, LLC

  • Clinical Neuropsychologist
  • Brick, NJ
  • NPI 1033213251
  Medicare reassignment NPD
• Morris Speech Therapy Associates, Limited Liability Company

  • Hearing and Speech Clinic/Center
  • Hackettstown, NJ
  • NPI 1871081885
  NPD (past) Authorized official

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1780810861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE",
            "address_2": "STE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607397",
            "telephone_number": "908-301-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231364",
            "telephone_number": "908-301-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAREST",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00582700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Lynn Cossolini, MS, OTR/L
• Jessica Costa, M.A. BCBA
• Laura Jane Crawford, AU.D.
• Maria L Cunniffe
• Lauren Daniels
• Dental Sanctuary of Fanwood LLC
• Laura M Diaz, MD
• Kendra Dickerson
• Dipaolo Physical Therapy PC
• Thomas Vincent Dipaolo, DPT

• Speech-Language Pathologist in Fanwood, NJ
• Providers in Fanwood, 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 Dec 26, 2019; 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.

Verify at the official NPI Registry.