Active NPI
Elizabeth Ijalba, CCC
- Speech-Language Pathologist
- Livingston, NJ
National Provider Identifier
1871893982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 007767-1
- Practice address
- 64 Hazelwood Ave
Livingston, NJ 07039-3841 - Phone
- (973) 580-7394
- NPI assigned
- Oct 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 007767-1 | NY | Primary |
Addresses
Primary practice location
64 Hazelwood Ave
Livingston, NJ 07039-3841
Mailing address
64 Hazelwood Ave
Livingston, NJ 07039-3841
Phone (973) 580-7394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007767-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1871893982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 HAZELWOOD AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393841",
"telephone_number": "973-580-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 HAZELWOOD AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393841",
"telephone_number": "973-580-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJALBA",
"first_name": "ELIZABETH",
"credential": "CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007767-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
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- Institute for Reproductive Medicine and Science at Saint Barnabas
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.