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MARY GAGLIARDOTTO MA, CF-SLP
NPI 1053195800
Speech-Language Pathologist in Montclair, NJ

Active since August 22, 2023Accepts Medicare Assignment
17 WATCHUNG PLZ, MONTCLAIR, NJ 07042(973) 744-0804 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Gagliardotto Ma, Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GAGLIARDOTTO MA, CF-SLP (NPI 1053195800) is an individual speech-language pathologist provider in Montclair, New Jersey and active in the NPI registry since August 2023. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1053195800
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY GAGLIARDOTTOCredential: MA, CF-SLP
Location Address17 WATCHUNG PLZMontclair, NJ 07042-4117
Mailing Address30 Oweno RdMahwah, NJ 07430-1829 · (551) 427-6588
Phone(973) 744-0804
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1053195800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
17 WATCHUNG PLZ, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Gagliardotto Ma, Cf-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375066376
PECOS Enrollment IDI20250331003163

Medicare Billing Reassignment

Medicare enrollment records show Mary Gagliardotto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lori Speaks, LLC
Same address
Speech-Language Pathologist
17 WATCHUNG PLZ
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
NPI 1932585593 (973) 744-0804

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIAMH MAIRE HOWLETT
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
JACLYN NICOLE BOUGADES
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
OMOY OMARI SLP
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
REBECCA MARIE LOTWICH M.A., CCC-SLP
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (862) 621-9390
KATELYN ZIMA
Occupational Therapist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
BRIELLE KORIN KREL
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
SHYLA LEONARD
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804
ELIZABETH WOLFE CCC-SLP
Speech-Language Pathologist
17 WATCHUNG PLZ
MONTCLAIR, NJ 07042
Essex County (973) 744-0804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gagliardotto's NPI number?

The NPI number for Mary Gagliardotto is 1053195800. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Mary Gagliardotto located?

Mary Gagliardotto practices at 17 Watchung Plz, Montclair, NJ 07042. The listed phone number is (973) 744-0804.

What is Mary Gagliardotto's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mary Gagliardotto enrolled in Medicare?

Yes. Mary Gagliardotto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Gagliardotto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gagliardotto reassigns Medicare benefits to Lori Speaks, LLC (Montclair, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gagliardotto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Gagliardotto was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.