Kathleen Anne Degennaro, MA, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01282200 Issued in NJ

Practice address

194 US Highway 31 - Pavilion #2
Flemington, NJ 08822

Phone

(908) 788-3777

NPI assigned

Nov 1, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1003639899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 US HIGHWAY 31 - PAVILION #2",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 US HIGHWAY 31 - PAVILION #2",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-788-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENNARO",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "MA, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01282200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Daytop Village of NJ
• Michael De Matos, LCADC
• Jerome Elliot Decker, MD
• Jordan Degroat, MA, LPC, NCC, ACS
• Jennifer Deignan
• Tiffany Delaney, BCBA
• Kerry Delmastro, LPC
• David A Delorenzo, DDS

• Speech-Language Pathologist in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.