Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467078782 Individual Practitioner Female Practitioner

Amanda Soran , MS, CCC-SLP

Speech-Language Pathologist • Park Ridge, NJ

Professional Overview & Biography Verified Profile Summary

Amanda Soran, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Park Ridge, NJ. Practice services are available at 141 KINDERKAMACK RD STE K under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

141 Kinderkamack Rd Ste K

Park Ridge, NJ 076561344

Telephone 9735255191

Specialty Benchmarks & Practice Insights

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

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

Practicing in Park Ridge, 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: 2025-11-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS00984100

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 18, 2025

Registered at 141 KINDERKAMACK RD STE K, PARK RIDGE, NJ 076561344 (Tel: 9735255191)

📍
Updated Business Mailing Address November 18, 2025

Registered at 73 WEST ST, CLOSTER, NJ 076241226 (Tel: 2016020520)

👤
Provider Name / Credentials Updated November 18, 2025

Recorded as AMANDA SORAN, M.S., CCC-SLP

NPI Profile Active June 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2020

Registered at 120 COUNTY RD STE 101, TENAFLY, NJ 076701854 (Tel: 2016020520)

📍
Updated Business Mailing Address June 23, 2020

Registered at 12 VAN NESS AVE, POMPTON PLAINS, NJ 074441288 (Tel: 2016020520)

👤
Provider Name / Credentials Updated June 23, 2020

Recorded as AMANDA TRETIAK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Speech-Language Pathologist (License #41YS00984100 in NJ)

🟢
Initial NPI Registration & Enumeration June 23, 2020

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: 1467078782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2020
Last Update: November 18, 2025
Sole Proprietor: Yes

Mailing Address

73 West St

Closter, NJ 076241226

Phone: 2016020520

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.