Active NPI
Taylor Viviani, MA, CCC-SLP
- Speech-Language Pathologist
- Moorestown, NJ
National Provider Identifier
1235965385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01283100
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01283100 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Choice Therapy LLC | Current | 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.
-
- Pediatric Occupational Therapist
- Moorestown, NJ
- NPI 1326692401
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.