MEDICARE: NICOLE CHIOFALO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1962365783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE CHIOFALO

Provider Business Mailing Address
First Line	:	46 PRESTS MILL RD
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-2740
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 S EUCLID AVE
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-2129
Country	:	US
Telephone Number	:	908-232-2900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ NICOLE CHIOFALO ” Practice Location

Language	Start Address	Practice Location

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