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Specialty details in registry · Jersey City, NJ

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At a glance

568 Communipaw Ave, Jersey City, NJ 07304-4402

NPPES record updated Apr 23, 2024. Public records can lag behind changes at a practice.

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Practice location

568 Communipaw Ave
Jersey City, NJ 07304-4402

Professional details: NPI, taxonomy & registry record

NPI1861027807

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 225XP0200X
Enumeration date: Mar 10, 2020
Record updated: Apr 23, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2251P0200X

Occupational Therapist

225X00000X

Specialty details in registry

225XP0200X · Primary

Speech-Language Pathologist

235Z00000X

Specialty details in registry

261QP2000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

568 Communipaw Ave
Jersey City, NJ 07304-4402

Phone: (201) 309-0198

Mailing address

26 SUBURBIA DR

JERSEY CITY, NJ 073051228

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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