Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902554603 Individual Practitioner Female Practitioner

Kimberly Mora , CCC-SLP

Speech-Language Pathologist • Oakdale, NY

Professional Overview & Biography Verified Profile Summary

Kimberly Mora, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Oakdale, NY. Practice services are available at 1200 MONTAUK HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Montauk Hwy

Oakdale, NY 117691540

Telephone 6315674901

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Oakdale, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Oakdale, NY (25106 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: 2022-03-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 031521-01

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

4 Associated Practitioners
Jared Beyer , RN

Registered Nurse

NPI 1003592924

Registered Nurse

Madeline Match , SLP

Speech-Language Pathologist

NPI 1346519998

Speech-Language Pathologist

Sarah Samson , LMSW

Counselor - School

NPI 1780565309

Licensed Master Social Worker

Christina Scafuri , MPT

Physical Therapist

NPI 1790984011

Master of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2022

Registered at 1200 MONTAUK HWY, OAKDALE, NY 117691540 (Tel: 6315674901)

📍
Updated Business Mailing Address March 13, 2022

Registered at 3110 CONNECTICUT AVE, MEDFORD, NY 117631715 (Tel: 6318309275)

👤
Provider Name / Credentials Updated March 13, 2022

Recorded as KIMBERLY MORA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2022

Speech-Language Pathologist (License #031521-01 in NY)

🟢
Initial NPI Registration & Enumeration March 13, 2022

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: 1902554603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2022
Last Update: March 13, 2022
Sole Proprietor: No

Mailing Address

3110 Connecticut Ave

Medford, NY 117631715

Phone: 6318309275

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.