Shailashree Channapatna Nanjundiah, AUD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YB00005600 Issued in NJ

Practice address

456 US Highway 22 W
Whitehouse Station, NJ 08889-3439

Phone

(908) 479-1341

Fax

(908) 534-0144

NPI assigned

Jan 31, 2007

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiopedics LLC

  • Audiologist
  • Whitehouse Station, NJ
  • NPI 1487894192
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1114064771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 US HIGHWAY 22 W",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893439",
            "telephone_number": "908-479-1341",
            "fax_number": "908-534-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 US HIGHWAY 22 W",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893439",
            "telephone_number": "908-479-1341",
            "fax_number": "908-534-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANJUNDIAH",
        "first_name": "SHAILASHREE",
        "middle_name": "CHANNAPATNA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YB00005600",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25 MG00101000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Lutz, APN
• April McGrath-Lutzky
• Helen Marie McIntosh, MA, LPC, LCADC, CSW.
• Sarah Saffa Mohamed
• Arianna Morea
• Ashrah Nashed, MD
• Charly I Nasser, PHARM D
• Neighbours-Inc
• Lynda Nolan, MPH, MSN, CRNP
• Hannah Marie O'Brien

• Speech-Language Pathologist in Whitehouse Station, NJ
• Providers in Whitehouse Station, 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 Jan 16, 2024; 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.