Active NPI
Justine M Gengarella, M.S., CCC/SLP
- Speech-Language Pathologist
- Ashaway, RI
National Provider Identifier
1245979293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15136
- Practice address
- 18 Edgewood Ave
Ashaway, RI 02804-2202 - Phone
- (401) 965-3056
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 15136 | NC | Primary |
Addresses
Primary practice location
18 Edgewood Ave
Ashaway, RI 02804-2202
Mailing address
18 Edgewood Ave
Ashaway, RI 02804-2202
Phone (401) 965-3056
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15136 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1245979293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 EDGEWOOD AVE",
"city": "ASHAWAY",
"state": "RI",
"postal_code": "028042202",
"telephone_number": "401-965-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 EDGEWOOD AVE",
"city": "ASHAWAY",
"state": "RI",
"postal_code": "028042202",
"telephone_number": "401-965-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENGARELLA",
"first_name": "JUSTINE",
"middle_name": "M",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashaway, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.