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Active NPI 1679115174 Individual Practitioner Female Practitioner

Carmen Polise , MA

Speech-Language Pathologist • Chatham, NJ

Professional Overview & Biography Verified Profile Summary

Carmen Polise, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Chatham, NJ. Practice services are available at 667 SHUNPIKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

667 Shunpike Rd

Chatham, NJ 079281574

Telephone 9732296456

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Chatham, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Chatham, NJ (4944 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-01-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00360100

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

3 Associated Practitioners
NPI 1164184073
Karen Tom , PT

Physical Therapist

NPI 1427226133

Physical Therapist

Lisa Lattarulo , LPC

Counselor - Mental Health

NPI 1972176816

Licensed Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 06, 2025

Registered at 301 W 53RD ST, NEW YORK, NY 100195766 (Tel: 9732296456)

NPI Profile Active October 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2019

Registered at 667 SHUNPIKE RD, CHATHAM, NJ 079281574 (Tel: 9732296456)

📍
Updated Business Mailing Address October 16, 2019

Registered at 301 W 53RD ST APT 11E, NEW YORK, NY 100195794 (Tel: 9732296456)

👤
Provider Name / Credentials Updated October 16, 2019

Recorded as CARMEN POLISE, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2019

Speech-Language Pathologist (License #41YS00360100 in NJ)

🟢
Initial NPI Registration & Enumeration October 16, 2019

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: 1679115174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2019
Last Update: January 06, 2025
Sole Proprietor: Yes

Mailing Address

301 W 53rd St

New York, NY 100195766

Phone: 9732296456

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.