MRS. MEGAN A FAJARDO (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1063720522

MRS. MEGAN A FAJARDO (M.A., CCC-SLP) is a healthcare provider. based in New providence, New Jersey. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A., CCC-SLP. They hold a License No. 41YS00314700 (NJ). The NPI Number for MRS. MEGAN A FAJARDO (M.A., CCC-SLP) is 1063720522

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MEGAN A FAJARDO (M.A., CCC-SLP)
NPI
1063720522
Phone
(908) 464-0764
Address
49 HUNTERDON BLVD
Enumeration Date
17 September 2010
Last Update Date
17 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9087227022
Graduation Year
1994 (32 years ago)
PAC ID
5890191613
Group Practice PAC ID
6406198373
Professional Enrollment ID
I20210902001471
Address ID
NJ08807XXXXBRXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

347 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in NJ

Provider Addresses for MRS. MEGAN A FAJARDO (M.A., CCC-SLP)

  • 49 HUNTERDON BLVD

    NEW PROVIDENCE, NJ 079742768

    Phone: (908) 464-0764

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210902001471IQualified Speech Language PathologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07974)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406198373View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Where can patients find MRS. MEGAN A FAJARDO (M.A., CCC-SLP)'s NPI?
You can confirm MRS. MEGAN A FAJARDO (M.A., CCC-SLP) with NPI 1063720522; it appears in the national provider directory.
Is MRS. MEGAN A FAJARDO (M.A., CCC-SLP) active in the national directory?
MRS. MEGAN A FAJARDO (M.A., CCC-SLP)'s public NPI profile is in an active state.
What kind of provider is MRS. MEGAN A FAJARDO (M.A., CCC-SLP)?
The page reflects Speech-Language Pathologist for MRS. MEGAN A FAJARDO (M.A., CCC-SLP). Clinical services aligned with this taxonomy classification.
What location shows for MRS. MEGAN A FAJARDO (M.A., CCC-SLP)?
We surface New Providence, New Jersey for MRS. MEGAN A FAJARDO (M.A., CCC-SLP) based on available NPPES addresses.
How can I contact MRS. MEGAN A FAJARDO (M.A., CCC-SLP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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