Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316492275 Individual Practitioner Female Practitioner

Diane Polledri , MA, CCC-SLP

Speech-Language Pathologist • Bloomfield, NJ

Professional Overview & Biography Verified Profile Summary

Diane Polledri, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomfield, NJ. Practice services are available at 1515 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 Broad St
Msu-Caslp

Bloomfield, NJ 070033002

Telephone 9736557946
Associated Practice Facility / Clinic
🏢 New Jersey Urology Llc Facility NPI 1588822423

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomfield, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Bloomfield, NJ (4944 Statewide)

Telehealth Adoption Rate
5.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00086900

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

8 Associated Practitioners
NPI 1114960317

Doctor of Medicine (M.D.)

NPI 1275506685

Doctor of Osteopathic Medicine (D.O.)

Janice Dittelman , MASTER OF SCIENCE

Speech-Language Pathologist

NPI 1700384823

MASTEROFSCIENCE

NPI 1730477894

Doctor of Audiology

Dr. Randah Al Kana , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1821048554

Doctor of Medicine (M.D.)

Katherine Papas

Speech-Language Pathologist

NPI 1821574278

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 1515 BROAD ST, MSU-CASLP, BLOOMFIELD, NJ 070033002 (Tel: 9736557946)

📍
Updated Business Mailing Address January 18, 2017

Registered at 19 MOUNTAINVIEW RD, VERONA, NJ 070442308 (Tel: 9735711585)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as DIANE POLLEDRI, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Speech-Language Pathologist (License #41YS00086900 in NJ)

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2016

Registered at 1515 BROAD ST, MSU-CASLP, BLOOMFIELD, NJ 070033002 (Tel: 9736557946)

📍
Updated Business Mailing Address August 22, 2016

Registered at 19 MOUNTAINVIEW RD, VERONA, NJ 070442308 (Tel: 9735711585)

👤
Provider Name / Credentials Updated August 22, 2016

Recorded as DIANE POLLEDRI, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Speech-Language Pathologist (License #41YS00086900 in NJ)

🟢
Initial NPI Registration & Enumeration August 22, 2016

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: 1316492275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2016
Last Update: January 18, 2017
Sole Proprietor: No

Mailing Address

19 Mountainview Rd

Verona, NJ 070442308

Phone: 9735711585

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.