=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841132024
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEVIN NICOLE LEMONGELLO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2026
-----------------------------------------------------
Last Update Date | 04/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 576 CENTRAL AVE FL 3
-----------------------------------------------------
City | EAST ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07018-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-463-9342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22 BARBARA DR
-----------------------------------------------------
City | FAIRFIELD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07004-1702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-985-2615
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | TL-4712
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------