Janna Geller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00248300 Issued in NJ

Practice address

45 Central Ave
Demarest, NJ 07627-1603

Phone

(201) 768-7272

Fax

(201) 750-1136

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2020.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1033752134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CENTRAL AVE",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271603",
            "telephone_number": "201-768-7272",
            "fax_number": "201-750-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CENTRAL AVE",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271603",
            "telephone_number": "201-768-7272",
            "fax_number": "201-750-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "JANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00248300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Demarest",
            "affiliation": "N",
            "address_1": "45 Central Ave",
            "city": "Demarest",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076271603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Marie Carlisle, PSY.D.
• Nicole Catalano, MSED, ATC, LAT
• Bianca De Jesus Diaz
• James L. Fosshage, PH.D.
• Therese Ann Franklin, D.C.
• Michele Goldfine, MS, RD, CDN
• Bing Gong, MD
• Sherina Kishin Idnani
• Ikpt, LLC
• Romy Martin Jagid

• All providers in Demarest, NJ
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.