Jessica M Mennella, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00436100 Issued in NJ

Practice address

24 Woodland Rd
Jamesburg, NJ 08831-1344

Phone

(732) 501-8120

NPI assigned

Nov 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Fellowship Village Inc.

  • Physical Therapist
  • Basking Ridge, NJ
  • NPI 1295685139
  Medicare reassignment
• Springpoint at Monroe Village, Inc.

  • Physical Therapist
  • Monroe Township, NJ
  • NPI 1942830989

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1346584950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WOODLAND RD",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311344",
            "telephone_number": "732-501-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WOODLAND RD",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311344",
            "telephone_number": "732-501-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNELLA",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00436100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Krutyansky
• Judith Katherine Litkey-Noel, LSW
• Twinkle Marie Mangabat, P.T.
• Monique Elaine McNair, LSW
• Medscripts Pharmacy LLC
• Mid-Jersey Urology, LLC
• Middlesex Home Care Limited Liability Company
• James R Mielo, R.PH.
• Andre Sheldon Mitchell, APN
• Priyanka Mohindroo, BS OT

• Speech-Language Pathologist in Jamesburg, NJ
• Providers in Jamesburg, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.