Patricia Ann Kordosky, M.S. SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00717000 Issued in NJ

Practice address

223 Old Hook Rd Ste 2
Westwood, NJ 07675-3132

Phone

(201) 965-9596

NPI assigned

Feb 5, 2015

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

Other identifiers 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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1831580331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 OLD HOOK RD STE 2",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753132",
            "telephone_number": "201-965-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 OLD HOOK RD STE 2",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753132",
            "telephone_number": "201-965-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDOSKY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "M.S. SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00717000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ SLP LICENSE",
            "identifier": "41YS00717000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Polina Tokar Korik, M.S. CCC-SLP
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• Eve Michelle Kotkin
• Siobhan Kraemer
• Debra Ellen Kreel, PT

• Speech-Language Pathologist in Westwood, NJ
• Providers in Westwood, 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 Feb 5, 2015; 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.