DR. JENNIFER D. MOORE (NPI# 1144528662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144528662 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER D. MOORE |
| Credential | EDD, CCC-SLP |
| Practice Address |
1211 Hamburg Tpke Ste 224 Wayne NJ 07470-5056 |
| Practice Telephone | 9738008515 |
| Mailing Telephone | 9738008515 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103K00000X | Behavioral Analyst | 1-2044163 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1292 Hamburg Tpke, Second Floor, Suite B, Wayne, NJ 074705086 | 8622426255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| Street Address |
1211 HAMBURG TPKE STE 224 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-5056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304430 | Brave Wings Therapy, PC | Behavioral Analyst | 1211 Hamburg Tpke Ste 224, Wayne, NJ 07470-5056 | 2019-09-11 |
| 1225693849 | Kaitlyn Berninger | Speech-Language Pathologist | 1211 Hamburg Tpke Ste 224, Wayne, NJ 07470-5056 | 2019-05-08 |
| 1942863980 | Sutton Speech LLC | Occupational Therapist | 1211 Hamburg Tpke Ste 224, Wayne, NJ 07470-5056 | 2019-04-16 |
| 1629344494 | Naomi Sutton | Speech-Language Pathologist | 1211 Hamburg Tpke Ste 224, Wayne, NJ 07470-5056 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401575 | Quinn Elizabeth Kelly | Speech-Language Pathologist | 72 Brighton Ter, Wayne, NJ 07470-6470 | 2020-09-10 |
| 1558841254 | Kelli Ohanlon | Speech-Language Pathologist | 1118 Valley Rd Apt 2a, Wayne, NJ 07470-2382 | 2018-08-21 |
| 1447764519 | Amanda Mezzadri | Speech-Language Pathologist | 15 Highland Ter, Wayne, NJ 07470-4344 | 2017-11-27 |
| 1598202855 | Nicole Lombardi | Speech-Language Pathologist | 271 Hillcrest Rd, Wayne, PA 19087-2423 | 2017-01-25 |
| 1114384336 | Meghan Kathleen Macomber | Speech-Language Pathologist | 446 Saint Davids Ave, Wayne, PA 19087-4203 | 2016-01-19 |
| 1528457272 | Stacy Shansky | Speech-Language Pathologist | 63 Joyce Ln, Wayne, NJ 07470-3647 | 2015-01-19 |
| 1619389111 | Kristi Caputo | Speech-Language Pathologist | 55 Brookwood Dr, Wayne, NJ 07470-4246 | 2014-06-02 |
| 1104241967 | Leanne Christian | Speech-Language Pathologist | 48 Lenox Rd, Wayne, NJ 07470-5521 | 2014-03-03 |
| 1770918955 | Ashley Beth Tress | Speech-Language Pathologist | 8 Echo Ct, Wayne, NJ 07470-6514 | 2013-09-06 |
| 1851731541 | Scott Shansky | Speech-Language Pathologist | 73 Mountainview Blvd, Wayne, NJ 07470-6709 | 2013-06-27 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.