Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417376708 Individual Practitioner Female Practitioner

Sofia Baglivo Sullivan , MA, CCC-SLP

Speech-Language Pathologist • Jersey City, NJ

Professional Overview & Biography Verified Profile Summary

Sofia Sullivan, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jersey City, NJ. Practice services are available at 206 YORK ST APT 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 York St Apt 1

Jersey City, NJ 073023645

Telephone 2155121792
Associated Practice Facility / Clinic
🏢 Sofia Sullivan Slp Llc Facility NPI 1720793185

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jersey City, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
65 Specialists

Practicing in Jersey City, 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: 2023-01-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS01058600

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NY 024595

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04174021 (NY)

Secondary Practice Locations

383 Grand St Apt 387

New York, NY 100023946

Phone: 2125390259

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Speech-Language Pathologist

📍
Updated Practice Location September 13, 2021

Registered at 206 YORK ST APT 1, JERSEY CITY, NJ 073023645 (Tel: 2155121792)

📍
Updated Business Mailing Address September 13, 2021

Registered at 206 YORK ST APT 1, JERSEY CITY, NJ 073023645 (Tel: 2155121792)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as SOFIA SULLIVAN, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Speech-Language Pathologist (License #41YS01058600 in NJ)

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2015

Registered at 383 GRAND ST APT 387, NEW YORK, NY 100023946 (Tel: 2125390259)

📍
Updated Business Mailing Address May 20, 2015

Registered at 383 GRAND ST APT 387, NEW YORK, NY 100023946 (Tel: 2125390259)

👤
Provider Name / Credentials Updated May 20, 2015

Recorded as SOFIA BAGLIVO, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sofia Sullivan. Be the first to share your experience!

Sign in to leave a review for Sofia Sullivan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417376708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2014
Last Update: January 19, 2023
Sole Proprietor: No

Mailing Address

206 York St Apt 1

Jersey City, NJ 073023645

Phone: 2155121792

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.