Eileen Anne Fasanella, - Speech-Language Pathologist in Montclair, NJ

Eileen Anne Fasanella, is a Speech-language Pathologist based in Montclair, New Jersey. Eileen Anne Fasanella is licensed to practice in New Jersey (license number 41YS00206300) and her current practice location is 2 Woodmont Rd, Montclair, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 818-2164.

NPI number for Eileen Anne Fasanella is 1194303073 and her current mailing address is 2 Woodmont Rd, Montclair, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194303073.

Contact Information

Eileen Anne Fasanella,
2 Woodmont Rd,
Montclair, NJ 07043-2500
(973) 818-2164
Not Available



Healthcare Provider's Profile

Full NameEileen Anne Fasanella
GenderFemale
SpecialitySpeech-language Pathologist
Location2 Woodmont Rd, Montclair, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194303073
  • Provider Enumeration Date: 03/31/2021
  • Last Update Date: 03/31/2021

Medical Identifiers

Medical identifiers for Eileen Anne Fasanella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194303073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 41YS00206300 (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. Eileen Anne Fasanella 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 AddressPractice Location Address
Eileen Anne Fasanella,
2 Woodmont Rd,
Montclair, NJ 07043-2500

Ph: (973) 818-2164
Eileen Anne Fasanella,
2 Woodmont Rd,
Montclair, NJ 07043-2500

Ph: (973) 818-2164

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› Verified 3 days ago


Speech-Language Pathologist in Montclair, NJ

Ayana Webb, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 33 Hillside Ave Apt 7, Montclair, NJ 07042
Phone: 732-675-0279    
Mary Gagliardotto, MA, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Cara Cilento, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Upper Montclair Plz, Montclair, NJ 07043
Phone: 973-519-1989    
Brielle Korin Stern,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Ciera Marie Iandiorio, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Valley Rd Apt 204, Montclair, NJ 07042
Phone: 973-349-0323    
Janel Modoski,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 395 Claremont Ave Apt 2, Montclair, NJ 07042
Phone: 609-529-7194    

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