Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952547549 Individual Practitioner Female Practitioner

Nicole Mack , MS CCC-SLP

Speech-Language Pathologist • Berkeley Heights, NJ

Professional Overview & Biography Verified Profile Summary

Nicole Mack, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Berkeley Heights, NJ. Practice services are available at 1 DIAMOND HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9732734300
Associated Practice Facility / Clinic
🏢 Summit Medical Group Pa Facility NPI 1942254347

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Berkeley Heights, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Berkeley Heights, NJ (4944 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00451200

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Silpa Gadiraju , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003105750

Doctor of Medicine (M.D.)

Dr. John Dokko , DO

Internal Medicine - Nephrology

NPI 1003804550

Doctor of Osteopathic Medicine (D.O.)

Denise Rizzolo , PA

Physician Assistant

NPI 1003986191

Physician Assistant

NPI 1013655216

Doctor of Medicine (M.D.)

Dr. Lawrence Nastro , MD

Internal Medicine - Infectious Disease

NPI 1013904861

Doctor of Medicine (M.D.)

Debra Ryan , PT

Physical Therapist

NPI 1013989045

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2009

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9732734300)

📍
Updated Business Mailing Address January 02, 2009

Registered at 22 CONSTANCE RD, NEW PROVIDENCE, NJ 079742511 (Tel: 9173732488)

👤
Provider Name / Credentials Updated January 02, 2009

Recorded as NICOLE MACK, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2009

Speech-Language Pathologist (License #41YS00451200 in NJ)

🟢
Initial NPI Registration & Enumeration January 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952547549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2009
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

22 Constance Rd

New Providence, NJ 079742511

Phone: 9173732488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.