Individual provider Active NPI

Danielle T Puentes

  • Speech-Language Pathologist
  • Hammonton, NJ
National Provider Identifier
1164790952
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00693900 Issued in NJ
Practice address
129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1874
Phone
(609) 704-1980
Fax
(609) 704-9054
NPI assigned
Dec 7, 2011
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 41YS00693900 NJ Primary

Addresses

Primary practice location

129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1874

Mailing address

129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1874
Phone (609) 704-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000449 NJ Practitioner - Qualified Speech Language Pathologist 8426214040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Orthopedic and Sports Physical Therapy PCGroup PAC ID 2567481476, 13 clinicians

Practice addresses (Care Compare)

129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1983
Phone (609) 704-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00693900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Orthopedic & Sports Physical Therapy PC Speech-Language Pathologist CurrentSince Jun 15, 2012 Accepting new patients

Locations

650 S White Horse Pike
Ste D
Hammonton, NJ 08037
Phone (609) 335-1308

129 N White Horse Pike
Ste B
Hammonton, NJ 08037
Phone (609) 704-1980

Organizations & group practices 1

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1164790952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE",
            "address_2": "SUITE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE",
            "address_2": "SUITE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "DANIELLE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00693900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.