Individual provider Active NPI

Taylor Viviani, MA, CCC-SLP

  • Speech-Language Pathologist
  • Moorestown, NJ
National Provider Identifier
1235965385
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01283100 Issued in NJ
Practice address
505 S Lenola Rd Ste 207
Moorestown, NJ 08057-1594
Phone
(856) 437-0575
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 41YS01283100 NJ Primary

Addresses

Primary practice location

505 S Lenola Rd Ste 207
Moorestown, NJ 08057-1594

Mailing address

255 Hollyoke Rd
Somerdale, NJ 08083-2621
Phone (973) 255-6007

Other names 1

  • Taylor Jordan Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS01283100NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Choice Therapy LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

505 S Lenola Rd
Ste 207
Moorestown, NJ 08057
Phone (856) 437-0575

312 W Route 38
Ste 105
Moorestown, NJ 08057
Phone (856) 437-0575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1235965385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HOLLYOKE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832621",
            "telephone_number": "973-255-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S LENOLA RD STE 207",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571594",
            "telephone_number": "856-437-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANI",
        "first_name": "TAYLOR",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01283100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.