Healthcare Provider Details

I. General information

NPI: 1780518449
Provider Name (Legal Business Name): JESSICA RIZZI SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E MAIN ST
SOMERVILLE NJ
08876-2312
US

IV. Provider business mailing address

60 E MAIN ST
SOMERVILLE NJ
08876-2312
US

V. Phone/Fax

Practice location:
  • Phone: 908-458-6267
  • Fax: 888-920-1287
Mailing address:
  • Phone: 908-458-6267
  • Fax: 888-920-1287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTL-5033
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: