Active NPI
Chardonnay Moultrie, SLP
- Speech-Language Pathologist
- Jersey City, NJ
National Provider Identifier
1346855350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01088600
- Practice address
- 537 Pavonia Ave
Jersey City, NJ 07306-1803 - Phone
- (201) 653-8300
- NPI assigned
- Sep 15, 2020
- Last updated
- Jul 22, 2026
- 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 | 41YS01088600 | NJ | Primary |
Addresses
Primary practice location
537 Pavonia Ave
Jersey City, NJ 07306-1803
Mailing address
20 Waldo Ave
Bloomfield, NJ 07003-6442
Other names 1
- Chardonnay Adams-Carter
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1346855350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WALDO AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070036442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 PAVONIA AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061803",
"telephone_number": "201-653-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTRIE",
"first_name": "CHARDONNAY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS01088600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARDONNAY",
"last_name": "ADAMS-CARTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.