Individual provider Active NPI

Kelliat V Forzani

  • Speech-Language Pathologist
  • Westwood, NJ
National Provider Identifier
1891584975
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00950300 Issued in NJ
Practice address
99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3019
Phone
(201) 383-0826
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00950300 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3019

Mailing address

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3019
Phone (201) 383-0826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001779 NJ Practitioner - Qualified Speech Language Pathologist 9032620836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Neuro Rehab LLCGroup PAC ID 4789066705, 11 clinicians

Practice addresses (Care Compare)

99 Kinderkamack Rd
Suite 100
Westwood, NJ 07675-3012
Phone (845) 649-4531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00950300NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Neuro Rehab, LLC Speech-Language Pathologist CurrentSince Jun 1, 2025 Accepting new patients

Locations

99 Kinderkamack Rd
Ste 100
Westwood, NJ 07675
Phone (201) 383-0826

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.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1891584975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753019",
            "telephone_number": "201-383-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753019",
            "telephone_number": "201-383-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORZANI",
        "first_name": "KELLIAT",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00950300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.