Active NPI
Irina Vladimirovna Zaytseva, CCC-SLP
- Speech-Language Pathologist
- Hawthorne, NJ
National Provider Identifier
1962144022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01134400
- Practice address
- 55 Emeline Dr
Hawthorne, NJ 07506-3000 - Phone
- (201) 519-0293
- NPI assigned
- Apr 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TL-3608 | NJ | |
| Speech-Language Pathologist | 235Z00000X | 41YS01134400 | Primary |
Addresses
Primary practice location
55 Emeline Dr
Hawthorne, NJ 07506-3000
Mailing address
55 Emeline Dr
Hawthorne, NJ 07506-3000
Other practice location 1
350 Oxford Rd
Oxford, NJ 07863-3224
Phone (908) 453-7700
Other practice location 2
145 State Park Rd
Blairstown, NJ 07825-4206
Phone (908) 459-4128
Other practice location 3
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250620002446 | NJ | Practitioner - Qualified Speech Language Pathologist | 7012429590 | Practice locations: Hawthorne, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL-3608 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1962144022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EMELINE DR",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075063000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 EMELINE DR",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075063000",
"telephone_number": "201-519-0293"
}
],
"practiceLocations": [
{
"address_1": "350 Oxford Rd",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NJ",
"postal_code": "078633224",
"country_code": "US",
"telephone_number": "908-453-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 State Park Rd",
"address_purpose": "LOCATION",
"city": "Blairstown",
"state": "NJ",
"postal_code": "078254206",
"country_code": "US",
"telephone_number": "908-459-4128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 E Ridgewood Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076524142",
"country_code": "US",
"telephone_number": "201-967-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAYTSEVA",
"first_name": "IRINA",
"middle_name": "VLADIMIROVNA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-10",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "TL-3608",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "41YS01134400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.