Individual provider Active NPI

Sidney Padilla, MA, CCC-SLP

  • Speech-Language Pathologist
  • Hamilton, NJ
National Provider Identifier
1255056222
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01149100 Issued in NJ
Practice address
3575 Quakerbridge Rd
Hamilton, NJ 08619-1271
Phone
(888) 244-5373
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 41YS01149100 NJ Primary

Addresses

Primary practice location

3575 Quakerbridge Rd
Hamilton, NJ 08619-1271

Mailing address

3575 Quakerbridge Rd
Hamilton, NJ 08619-1271
Phone (888) 244-5375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spadilla@childresn-specialized.org Direct

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
41YS01149100NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1255056222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191271",
            "telephone_number": "888-244-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191271",
            "telephone_number": "888-244-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SIDNEY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01149100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spadilla@childresn-specialized.org",
            "affiliation": "N",
            "endpointDescription": "hospital email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3575 Quakerbridge Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086191271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.