Active NPI
Rochel Dahan
- Speech-Language Pathologist
- Passaic, NJ
National Provider Identifier
1982250825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00851200
- Practice address
- 37 Reid Ave
Passaic, NJ 07055-3510 - Phone
- (973) 873-6956
- NPI assigned
- Aug 15, 2019
- 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 | 41YS00851200 | NJ | Primary |
Addresses
Primary practice location
37 Reid Ave
Passaic, NJ 07055-3510
Mailing address
37 Reid Ave
Passaic, NJ 07055-3510
Phone (973) 873-6956
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KIDCLAN@KIDCLAN.COM | kid clan services in |
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 |
|---|---|---|---|
| 41YS00851200 | NJ | MD | Speech-Language Pathologist |
Interoperability endpoints
- kidclan@kidclan.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1982250825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 REID AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553510",
"telephone_number": "973-873-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 REID AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553510",
"telephone_number": "973-873-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHAN",
"first_name": "ROCHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00851200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KIDCLAN@KIDCLAN.COM",
"affiliation": "Y",
"affiliationName": "kid clan services in",
"address_1": "340 Main Ave",
"city": "Clifton",
"state": "NJ",
"country_code": "US",
"postal_code": "070141328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.