Active NPI
Victoria Giannone
- Speech-Language Pathologist
- Mount Holly, NJ
National Provider Identifier
1033877253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01094000
- Practice address
- 455 Jacksonville Rd
Mount Holly, NJ 08060-1232 - Phone
- (845) 781-3337
- NPI assigned
- Dec 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS01094000 | NJ | Primary |
Addresses
Primary practice location
455 Jacksonville Rd
Mount Holly, NJ 08060-1232
Mailing address
11332 SW Mountain Ash Cir
Port Saint Lucie, FL 34987-2460
Phone (845) 781-3337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18370 Limestone Creek Rd
Jupiter, FL 33458-3860
Phone (561) 320-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01094000 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Els for Autism Foundation | Speech-Language Pathologist | Current | Accepting new patients |
Locations
18370 Limestone Creek Rd
Jupiter, FL 33458
Phone (561) 320-9500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684540800000",
"number": "1033877253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11332 SW MOUNTAIN ASH CIR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872460",
"telephone_number": "845-781-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 JACKSONVILLE RD",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601232",
"telephone_number": "845-781-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNONE",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-05",
"last_updated": "2023-05-20",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS01094000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.