Healthcare Provider Details

I. General information

NPI: 1063376010
Provider Name (Legal Business Name): CHANTAL CADESTIN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 S FRANKLIN TPKE STE 104
RAMSEY NJ
07446-2558
US

IV. Provider business mailing address

2 MOUNTAIN AVE
MAHWAH NJ
07430-1218
US

V. Phone/Fax

Practice location:
  • Phone: 201-509-8205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: