Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922643089 Individual Practitioner Female Practitioner

Tiffany Wickert

Speech-Language Pathologist • Warren, NJ

Professional Overview & Biography Verified Profile Summary

Tiffany Wickert is a registered healthcare professional specializing in Speech-Language Pathologist in Warren, NJ. Practice services are available at 67A MOUNTAIN BLVD EXT. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

67a Mountain Blvd Ext.
1st Floor, Unit B

Warren, NJ 070595626

Telephone 9088736337
Fax 9083325668
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Warren, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Warren, 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: 2023-09-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 032797

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

1854 Hylan Blvd Ste 2

Staten Island, NY 103052119

Phone: 3475522371

151 Woodbine Ave

Staten Island, NY 103141833

Phone: 3475522371

Practice Associates & Co-Workers

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

12 Associated Practitioners
Riley Fields , MSED, SLP, SLS

Speech-Language Pathologist

NPI 1083502041

Master of Science in Education, Speech-Language Pathologist, SLS

Dr. Lindsey Soper , OTD, OTR, L

Occupational Therapist

NPI 1124948443

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Victoria Buscarnera

Speech-Language Pathologist

NPI 1184485021
Megan Tarvydas

Behavior Analyst

NPI 1205399128
Stephanie Sacco

Speech-Language Pathologist

NPI 1447014352
Jacqueline Jae

Occupational Therapist

NPI 1639991003

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 15, 2023

Registered at 67A MOUNTAIN BLVD EXT., 1ST FLOOR, UNIT B, WARREN, NJ 070595626 (Tel: 9088736337)

📍
Updated Business Mailing Address September 15, 2023

Registered at 19 DARTMOUTH DR, HAZLET, NJ 077302322 (Tel: 3475522371)

📍
Updated Practice Location April 14, 2023

Registered at 1854 HYLAN BLVD STE 2, STATEN ISLAND, NY 103052119 (Tel: 3475522371)

📍
Updated Business Mailing Address April 14, 2023

Registered at 151 WOODBINE AVE, STATEN ISLAND, NY 103141833

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2023

Speech-Language Pathologist (License #032797 in NY)

NPI Profile Active November 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2019

Registered at 116 W 32ND ST, NEW YORK, NY 100013212 (Tel: 2125642350)

📍
Updated Business Mailing Address November 13, 2019

Registered at 116 W 32ND ST, NEW YORK, NY 100013212

👤
Provider Name / Credentials Updated November 13, 2019

Recorded as TIFFANY WICKERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2019

Specialist

🟢
Initial NPI Registration & Enumeration November 13, 2019

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: 1922643089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2019
Last Update: September 15, 2023
Sole Proprietor: Yes

Mailing Address

19 Dartmouth Dr

Hazlet, NJ 077302322

Phone: 3475522371

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.