Jeong Eun Kim, MA CCC-SLP
NPI 1235824624ActiveIndividual· Speech-Language Pathologist· Park Ridge, NJ
Speech-Language Pathologist (MA CCC-SLP) in Park Ridge, New Jersey, licensed in NJ, with an NPI issued in April 2023.
Overview
| NPI | 1235824624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2023 |
| Last updated in NPPES | Apr 10, 2023 |
| Certified by provider | Apr 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 41YS01069500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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