Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144528662 Individual Practitioner Female Practitioner

Dr. Jennifer D. Moore , EdD, CCC-SLP

Speech-Language Pathologist • Sparta, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Moore, EdD, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sparta, NJ. Practice services are available at 540 LAFAYETTE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

540 Lafayette Rd

Sparta, NJ 078713497

Telephone 9737470456
Associated Practice Facility / Clinic
🏢 John Vitolo, M.d. P.c. Facility NPI 1437349644

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sparta, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Sparta, 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: 2026-06-11
Speech-Language Pathologist Primary Specialty

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Gabrielle Gordon , DPT

Physical Therapist

NPI 1023264660

Doctor of Physical Therapy

Alyssa Abreu

Speech-Language Pathologist

NPI 1093636268
Dr. Brian Kokulak , DPT

Physical Therapist

NPI 1396129037

Doctor of Physical Therapy

John Messina , PA

Physician Assistant - Surgical

NPI 1568575819

Physician Assistant

Tracy Mascilak , PT

Physical Therapist

NPI 1669668075

Physical Therapist

Jeanette Porter , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1679662480

PHYSICIANASSISTANT

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address June 11, 2026

Registered at 5-11 SADDLE RIVER RD, FAIR LAWN, NJ 074105635 (Tel: 9737470456)

📍
Updated Practice Location March 26, 2026

Registered at 540 LAFAYETTE RD, SPARTA, NJ 078713497 (Tel: 9737470456)

📍
Updated Business Mailing Address March 26, 2026

Registered at 540 LAFAYETTE RD, SPARTA, NJ 078713497

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2022

Speech-Language Pathologist

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Behavior Analyst (License #1-2044163 in NJ)

📍
Updated Practice Location April 16, 2019

Registered at 1211 HAMBURG TPKE STE 224, WAYNE, NJ 074705056 (Tel: 9738008515)

📍
Updated Business Mailing Address April 16, 2019

Registered at 1211 HAMBURG TPKE STE 224, WAYNE, NJ 074705056 (Tel: 9738008515)

👤
Provider Name / Credentials Updated April 16, 2019

Recorded as JENNIFER MOORE, EDD, CCC-SLP

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 1292 HAMBURG TPKE, SECOND FLOOR, SUITE B, WAYNE, NJ 074705086 (Tel: 8622426255)

📍
Updated Business Mailing Address June 17, 2014

Registered at 1292 HAMBURG TPKE, SECOND FLOOR, SUITE B, WAYNE, NJ 074705086 (Tel: 8622426255)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as JENNIFER MOORE, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration March 08, 2011

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: 1144528662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2011
Last Update: June 11, 2026
Sole Proprietor: No

Mailing Address

5-11 Saddle River Rd

Fair Lawn, NJ 074105635

Phone: 9737470456

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.