1669695763 NPI number — RACHEL FISCH-KAPLAN, MS CCC-SLP, PC

Table of content: (NPI 1669695763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669695763 NPI number — RACHEL FISCH-KAPLAN, MS CCC-SLP, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RACHEL FISCH-KAPLAN, MS CCC-SLP, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMMUNIKIDS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669695763
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 UNION PL
Provider Second Line Business Mailing Address:
SUITE 315
Provider Business Mailing Address City Name:
SUMMIT
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07901-2568
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-273-5537
Provider Business Mailing Address Fax Number:
908-277-1677

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 UNION PL
Provider Second Line Business Practice Location Address:
SUITE 315
Provider Business Practice Location Address City Name:
SUMMIT
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07901-2568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-273-5537
Provider Business Practice Location Address Fax Number:
908-277-1677
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KAPLAN
Authorized Official First Name:
RUSSELL
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE DIRECTOR & TREASURER
Authorized Official Telephone Number:
908-273-5537

Provider Taxonomy Codes

  • Taxonomy code: 225XP0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X , with the licence number: 41YS00281300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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