NPI 1992415954 · live from the CMS NPI Registry
Michael Robert Cipolla
Speech-Language Pathologist, in Avenel, NJ. National Provider Identifier 1992415954, active.
NPI record
| NPI | 1992415954 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1500 Saint Georges Ave Ste F, Avenel, NJ 07001 |
| Practice phone | 571-356-6742 |
| Mailing address | 35 Danvers Cir, Newark, DE 19702 |
| Enumerated | November 30, 2022 |
| Last updated | November 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 41YS01167200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.