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Kelly Dougherty , MA, CCC-SLP

Speech-Language Pathologist • Wayne, NJ

Active NPI 1578755567 Individual Practitioner Female Practitioner
Practice location in NPPES

224 Hamburg Tpke
Wayne, NJ 074702111

Call 9739563360 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

224 Hamburg Tpke

Wayne, NJ 074702111

Telephone 9739563360
Organization at the Same NPPES Address or Phone
St. Joseph's Wayne Hospital Facility NPI 1598760829

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wayne and New Jersey

60 active clinicians are listed under Speech-Language Pathologist with a practice address in Wayne, NJ (4,917 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wayne

0% of these 60 clinicians have the CMS telehealth indicator.

1.7% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NJ 41YS00457800

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Sydney Abajian

Physician Assistant

NPI 1386299774
Dr. Joseph Bove , DO

Emergency Medicine

NPI 1972943652

Doctor of Osteopathic Medicine (D.O.)

Marianne Cavanaugh , APN

Clinical Nurse Specialist - Critical Care Medicine

NPI 1821568817

Advanced Practice Nurse

Dr. Jose Espinal-Mariotte , MD

Pathology - Anatomic Pathology

NPI 1952384042

Doctor of Medicine (M.D.)

Patrick Gilliland , PA-C

Physician Assistant

NPI 1457371833

Physician Assistant (Certified)

Dr. William Grella , MD

Internal Medicine

NPI 1568497824

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 14, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1578755567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2007
Last Update: August 14, 2007
Sole Proprietor: Yes

Mailing Address

224 Hamburg Tpke

Wayne, NJ 074702111

Phone: 9739563360

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.