Individual provider Active NPI

Victoria Giannone

  • Speech-Language Pathologist
  • Mount Holly, NJ
National Provider Identifier
1033877253
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01094000 Issued in NJ
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

Updated by the provider on May 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241126000992 FL Practitioner - Qualified Speech Language Pathologist 7315472453 Reassigns benefits to 1 organization
I20260527000649 NJ Practitioner - Qualified Speech Language Pathologist 7315472453

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
Els for Autism FoundationGroup PAC ID 9537556014, 5 clinicians

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

LicenseStateTypeSpecialty
41YS01094000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Els for Autism Foundation Speech-Language Pathologist CurrentSince Sep 22, 2024 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.

Verify at the official NPI Registry.