Mr Maciej Modzelewski, MS CCC-SLP is a
Speech-language Pathologist based in Harrison, New Jersey. Mr Maciej Modzelewski is licensed to practice in New Jersey (license number 41YS00696800) and his current practice location is
415 N 5th St, Harrison, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 482-6960.
NPI number for Mr Maciej Modzelewski is 1710317854 and his current mailing address is 415 N 5th St, Harrison, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710317854.
Healthcare Provider's Profile
Full Name | Mr Maciej Modzelewski |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 415 N 5th St, Harrison, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710317854
- Provider Enumeration Date: 11/26/2013
- Last Update Date: 11/26/2013
Medical Identifiers
Medical identifiers for Mr Maciej Modzelewski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710317854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00696800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Maciej Modzelewski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Maciej Modzelewski, MS CCC-SLP 415 N 5th St, Harrison, NJ 07029-1201 Ph: () - | Mr Maciej Modzelewski, MS CCC-SLP 415 N 5th St, Harrison, NJ 07029-1201 Ph: (973) 482-6960 |
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