Holly J Bracken, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00586400 Issued in NJ

Practice address

78 Paterson St Apt 4
Jersey City, NJ 07307-3425

Phone

(973) 626-0850

NPI assigned

Jun 24, 2009

Last updated

Apr 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1902034200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7196",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073070196",
            "telephone_number": "973-626-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 PATERSON ST APT 4",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073425",
            "telephone_number": "973-626-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NJ",
            "postal_code": "074199649",
            "country_code": "US",
            "telephone_number": "973-626-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00586400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Bracker, D.O
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• Ravikumar B Brahmbhatt, MD
• Brain and Spine LLC
• Pourang Bral

• Speech-Language Pathologist in Jersey City, NJ
• Providers in Jersey City, 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 Apr 19, 2020; 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.