Organization Active NPI

Atlantic Speech and Swallowing Center, LLC

  • Speech-Language Pathologist
  • Egg Harbor TWP, NJ
National Provider Identifier
1235841891
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ATLANTIC SPEECH AND SWALLOWING CENTER, LLC
Practice address
6712 Washington Ave Ste 204
Egg Harbor TWP, NJ 08234-1999
Phone
(609) 798-1518
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mrs. Nicole Troendle, M.S. CCC-SLPNPI 1861103954
Title
Owner/Speech Language Pathologist
Phone
(908) 309-9883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6712 Washington Ave Ste 204
Egg Harbor TWP, NJ 08234-1999

Mailing address

6712 Washington Ave Ste 204
Egg Harbor TWP, NJ 08234-1999
Phone (609) 798-1518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331000066 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284005034 Receives reassigned benefits from 3 practitioners
Practice locations: Egg Harbor Township, NJ

National Provider Directory

National Provider Directory

Locations

6712 Washington Ave
Ste 204
Egg Hbr Twp, NJ 08234
Phone (609) 385-6876

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1235841891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 WASHINGTON AVE STE 204",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082341999",
            "telephone_number": "609-798-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 WASHINGTON AVE STE 204",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082341999",
            "telephone_number": "609-798-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPEECH AND SWALLOWING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "TROENDLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "908-309-9883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.