Jillian Grace Lardiere

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

155-175 W Hudson Ave
Englewood, NJ 07631

Phone

(201) 871-8882

NPI assigned

Nov 26, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1801553789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DYCKMAN PL",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201427",
            "telephone_number": "908-566-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155-175 W HUDSON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIERE",
        "first_name": "JILLIAN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lang, NURSE PRACTITIONER A
• Mimerose P. Lang
• Hannah H Langberg, N.P
• Melissa Lant, RD
• Sofia Lara
• Ross Tyrone Jensen Lavine
• Todd Dominic Kyle Lavine, M.B.B.S
• George B Leber, MD, FACC
• Chester C Lee, MD
• Chong Mu Lee, L. AC.

• Speech-Language Pathologist in Englewood, NJ
• Providers in Englewood, 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 Nov 26, 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.