Individual provider Active NPI

Alyson Quintavalle, CCC-SLP

  • Speech-Language Pathologist
  • Hoboken, NJ
National Provider Identifier
1053846931
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00778100 Issued in NJ
Practice address
622 Park Ave
Apt 5C
Hoboken, NJ 07030-3925
Phone
(201) 314-0814
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 41YS00778100 NJ Primary

Addresses

Primary practice location

622 Park Ave
Apt 5C
Hoboken, NJ 07030-3925

Mailing address

1 Ashburn PL
Fair Lawn, NJ 07410-3507
Phone (201) 314-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41YS00778100NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1053846931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASHBURN PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103507",
            "telephone_number": "201-314-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 PARK AVE",
            "address_2": "APT 5C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303925",
            "telephone_number": "201-314-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTAVALLE",
        "first_name": "ALYSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00778100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.