Active NPI
Christina Conti, CCC-SLP
- Speech-Language Pathologist
- South Orange, NJ
National Provider Identifier
1114581980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 414S00959600
- Practice address
- 400 S Orange Ave
South Orange, NJ 07079 - Phone
- (201) 673-8486
- NPI assigned
- Apr 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 414S00959600 | NJ | Primary |
Addresses
Primary practice location
400 S Orange Ave
South Orange, NJ 07079
Mailing address
31 W 48TH St
Bayonne, NJ 07002-4006
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
| License | State | Type | Specialty |
|---|---|---|---|
| 414S00959600 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enjoy Jersey Services LLC | Multi-Specialty | Past | Accepting new patients |
| Rapha Wellness Center, PC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1556323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1114581980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W 48TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S ORANGE AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "07079",
"telephone_number": "201-673-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "CHRISTINA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-27",
"last_updated": "2021-06-25",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "414S00959600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.