Active NPI
Stephanie Slavitt, SLP
- Speech-Language Pathologist
- Princeton, NJ
National Provider Identifier
1124254131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00193400
- Practice address
- 522 Executive Dr
Princeton, NJ 08540-1527 - Phone
- (609) 987-2672
- NPI assigned
- Jun 4, 2009
- 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 | 41YS00193400 | NJ | Primary |
Addresses
Primary practice location
522 Executive Dr
Princeton, NJ 08540-1527
Mailing address
17 Schindler Way
Fairfield, NJ 07004-2137
Phone (609) 987-2672
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00193400 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Vista Health Care Staffing, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Ansa Consultants, Inc. | Speech-Language Pathologist | 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.
-
- Occupational Therapist
- Lodi, NJ
- NPI 1003211152
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1124254131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SCHINDLER WAY",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070042137",
"telephone_number": "609-987-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 EXECUTIVE DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401527",
"telephone_number": "609-987-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVITT",
"first_name": "STEPHANIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00193400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.