Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114105087 Individual Practitioner Female Practitioner

Blair Allison Koczan , MS, CCC-SLP

Speech-Language Pathologist • Little Silver, NJ

Professional Overview & Biography Verified Profile Summary

Blair Koczan, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Little Silver, NJ. Practice services are available at 17 CREST DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17 Crest Dr

Little Silver, NJ 077391317

Telephone 7329966532
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Little Silver, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Little Silver, 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: 2022-01-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00563300

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 NJ 41YS005

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

1 Associated Practitioners
Cynthia Shotliff , MS, CCC-SLP

Speech-Language Pathologist

NPI 1073255717

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 17 CREST DR, LITTLE SILVER, NJ 077391317 (Tel: 7329966532)

📍
Updated Business Mailing Address January 11, 2022

Registered at 17 CREST DR, LITTLE SILVER, NJ 077391317 (Tel: 7329966532)

👤
Provider Name / Credentials Updated January 11, 2022

Recorded as BLAIR KOCZAN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Speech-Language Pathologist (License #41YS005 in NJ)

NPI Profile Active February 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2008

Registered at 15 FRONTIER WAY, TINTON FALLS, NJ 077537807 (Tel: 7329966532)

📍
Updated Business Mailing Address February 04, 2008

Registered at 15 FRONTIER WAY, TINTON FALLS, NJ 077537807 (Tel: 7329966532)

👤
Provider Name / Credentials Updated February 04, 2008

Recorded as BLAIR HERMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2008

Speech-Language Pathologist (License #41YS00563300 in NJ)

🟢
Initial NPI Registration & Enumeration February 04, 2008

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: 1114105087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2008
Last Update: January 11, 2022
Sole Proprietor: No

Mailing Address

17 Crest Dr

Little Silver, NJ 077391317

Phone: 7329966532

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.