KELLY SISS (NPI# 1164973921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973921 |
| Entity Type | Individual |
| Full Name | KELLY SISS |
| Practice Address |
1135 Broad St Clifton NJ 07013-3346 |
| Practice Telephone | 9734708687 |
| Mailing Telephone | 9734708687 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 025749 | NY | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 41YS00800400 | NJ | Speech, Language and Hearing Service Providers |
| Street Address |
1135 BROAD ST |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869702 | Diane M Allegra | Family Medicine | 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 | 2006-05-17 |
| 1073095345 | Sonu Hitesh Gandhi | Physical Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2018-09-04 |
| 1932627254 | Raymond Nguyen | Occupational Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2017-09-07 |
| 1558738591 | Allison Marie Finn | Physical Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2015-08-25 |
| 1538542949 | Christine Leroy | Family Medicine | 1135 Broad St, Clifton, NJ 07013 | 2015-07-02 |
| 1881028637 | Anthony Vincent Costella | Physical Therapist | 1135 Broad St, Suite 101, Clifton, NJ 07013-3346 | 2013-08-29 |
| 1699115717 | Tom Murikan | Family Medicine | 1135 Broad St, Clifton, NJ 07013-3346 | 2013-07-03 |
| 1316202542 | Michael Schwarz Internal Medicine LLC | Internal Medicine | 1135 Broad St, Suite 205, Clifton, NJ 07013-3346 | 2012-07-13 |
| 1487918637 | Kunjal Patel | Student in an Organized Health Care Education/Training Program | 1135 Broad St, Clifton, NJ 07013-3346 | 2012-07-02 |
| 1881974574 | Kavitha Shah | Family Medicine | 1135 Broad St, Clifton, NJ 07013-3346 | 2011-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| 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 |
|---|---|---|---|---|
| 1912408006 | Therapy Placement Services | Speech-Language Pathologist | 227 Lakeview Ave, Clifton, NJ 07011-4011 | 2018-02-23 |
| 1407375173 | Shoshana Sarah Slepoy | Speech-Language Pathologist | 69 Patricia Pl, Clifton, NJ 07012-1849 | 2017-09-14 |
| 1740634583 | Diana Gortych | Speech-Language Pathologist | 139 Hamilton Ave, Clifton, NJ 07011-1223 | 2016-04-18 |
| 1275996688 | Meagan Kowalczyk | Speech-Language Pathologist | 24 River Rd Apt 16, Clifton, NJ 07014-2017 | 2016-04-02 |
| 1699130641 | Ala Hassan | Speech-Language Pathologist | 16 Barnsdale Rd, Clifton, NJ 07013-2703 | 2015-12-17 |
| 1548646144 | Michelle Friedman | Speech-Language Pathologist | 378 South Pkwy, Clifton, NJ 07014-1225 | 2015-08-05 |
| 1437534484 | Karen Andrea Sisto | Speech-Language Pathologist | 138 Riverwalk Way, Clifton, NJ 07014-1729 | 2015-07-20 |
| 1588065817 | Kid Clan Services In | Speech-Language Pathologist | 340 Main Ave, Clifton, NJ 07014-1328 | 2014-09-05 |
| 1982023644 | Alicia Frannicola | Speech-Language Pathologist | 1425 Broad St Ste B, Clifton, NJ 07013-4201 | 2014-04-09 |
| 1821428434 | Marlene Fraulo | Speech-Language Pathologist | 58 Broadale Ave, Clifton, NJ 07013-3241 | 2013-11-18 |
| Find all providers in CLIFTON | ||||
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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.