Individual provider Active NPI

Natalia Persia

  • Speech-Language Pathologist
  • Northfield, NJ
National Provider Identifier
1154195477
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL4129 Issued in NJ
Practice address
2300 New Rd
Northfield, NJ 08225-1466
Phone
(609) 204-4849
NPI assigned
Nov 7, 2023
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 TL4129 NJ Primary

Addresses

Primary practice location

2300 New Rd
Northfield, NJ 08225-1466

Mailing address

501 W Tacony Rd
Wildwood, NJ 08260-1740
Phone (856) 562-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701000275 NJ Practitioner - Qualified Speech Language Pathologist 6507300688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TL4129NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC CurrentSince Apr 14, 2024 Accepting new patients
Spectrum Rehabilitation LLC CurrentSince Oct 13, 2024 Accepting new patients
Holistic Approach Physiotherapy Intervention, LLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

2300 New Rd
Northfield, NJ 08225
Phone (609) 204-4849

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1154195477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W TACONY RD",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082601740",
            "telephone_number": "856-562-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251466",
            "telephone_number": "609-204-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSIA",
        "first_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL4129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.