Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Bagatta-Bowles, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619631298

Kimberly Bagatta-Bowles, MACCC-SLP is a Speech-Language Pathologist in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

2854 John F Kennedy Blvd
Jersey City, NJ 07306-4014
Phone: (201) 792-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS01067000 (NJ)

Record details

NPI number1619631298
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

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