Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053729202 Individual Practitioner Female Practitioner

Michelle Kelly , CCC-SLP

Speech-Language Pathologist • Midland Park, NJ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michelle Kelly, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Midland Park, NJ. Official NPI practice address is registered at 85 GODWIN AVE.

Practice Location & Contact Primary Location

Practice Address

85 Godwin Ave

Midland Park, NJ 074321970

Telephone 2016398870
Fax 2016398874
Associated Practice Facility / Clinic
🏢 Ivyrehab Focus, Inc. Facility NPI 1902443880

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Midland Park, NJ

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

Practicing in Midland Park, 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: 2021-03-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00654800

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.

Secondary Practice Locations

79 Lloyd Rd

Ho Ho Kus, NJ 074231549

Phone: 2017881246

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dylan Kelczewski , SLP

Speech-Language Pathologist

NPI 1053026161

Speech-Language Pathologist

Victoria Haas

Occupational Therapist

NPI 1053248823
Julia D'arienzo

Speech-Language Pathologist

NPI 1063193977
Katrina Iledan

Occupational Therapist

NPI 1063197374
Jaclyn Gonzalez

Physical Therapist

NPI 1083222335
Daniella Mcgarrity , MA, CF-SLP

Speech-Language Pathologist

NPI 1093534760

Master of Arts, Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 30, 2021

Registered at 85 GODWIN AVE, MIDLAND PARK, NJ 074321970 (Tel: 2016398870)

📍
Updated Business Mailing Address March 30, 2021

Registered at 1377 MOTOR PKWY STE 307, ISLANDIA, NY 117495258 (Tel: 6315805200)

👤
Provider Name / Credentials Updated March 30, 2021

Recorded as MICHELLE KELLY, CCC-SLP

NPI Profile Active July 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2014

Registered at 79 LLOYD RD, HO HO KUS, NJ 074231549 (Tel: 2017881246)

📍
Updated Business Mailing Address July 31, 2014

Registered at 79 LLOYD RD, HO HO KUS, NJ 074231549

👤
Provider Name / Credentials Updated July 31, 2014

Recorded as MICHELLE KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2014

Speech-Language Pathologist (License #41YS00654800 in NJ)

🟢
Initial NPI Registration & Enumeration July 31, 2014

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: 1053729202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2014
Last Update: March 30, 2021
Sole Proprietor: No

Mailing Address

1377 Motor Pkwy Ste 307

Islandia, NY 117495258

Phone: 6315805200

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.