Provider Demographics
NPI:1730924184
Name:MULAKALAPALLI, VIJAY KUMAR
Entity type:Individual
Prefix:MR
First Name:VIJAY
Middle Name:KUMAR
Last Name:MULAKALAPALLI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SECOND STREET, DEPARTMENT OF ACADEMIC AFFAIRS
Mailing Address - Street 2:SUITE 105 1ST FLOOR (HILLCREST BUILDING)
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:551-996-2017
Mailing Address - Fax:551-996-0858
Practice Address - Street 1:HACKENSACK MERIDIAN HEALTH
Practice Address - Street 2:30 PROSPECT AVENUE
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:551-996-4257
Practice Address - Fax:551-996-3298
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2025-03-28
Deactivation Date:2025-03-21
Deactivation Code:
Reactivation Date:2025-03-28
Provider Licenses
StateLicense IDTaxonomies
CA19286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist