Melissa Marie Manning

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TL-3723 Issued in NJ

Practice address

59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772

Phone

(201) 675-3396

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Speech Therapy LLC

  dba Advanced Speech Therapy NC PLLC

  • Speech-Language Pathologist
  • Lincoln Park, NJ
  • NPI 1932732112
  NPD
• Speech Therapy Plus LLC

  • Hearing and Speech Clinic/Center
  • Glen Rock, NJ
  • NPI 1841670684
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1386370807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK RD STE 303C",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK RD STE 303C",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351772",
            "telephone_number": "201-675-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Park Hospice
• Lincoln Park Physical Therapy and Sports Rehabilitation, LLC (Optimum Health Physical Therapy & Wellness Center)
• Lincoln Park Renaissance Rehab. & Nursing Center LLC
• Diane Magee
• Sandra J Mainardi, PTA
• Leon M Marsh
• Chris Mathew, DPT
• Jennifer Nicole Mattiello, D.C.
• Allison Mizzone, M.S, CF-SLP
• Carla S Moldes, PT

• Speech-Language Pathologist in Lincoln Park, NJ
• Providers in Lincoln Park, 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 Jul 27, 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.