Melinda S Dettinger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00427800 Issued in NJ

Practice address

67 Higbee Ave
Somers Point, NJ 08244-2323

Phone

(609) 204-4849

NPI assigned

Nov 11, 2009

Last updated

Sep 15, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1396072393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTINGER",
        "first_name": "MELINDA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00427800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIO & SPEECH LANGUAGE PATHOLOGY",
            "identifier": "41YS00427800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Demasi, DO
• Eugene John Demorat, M.D.
• Jessica Deputter, LCSW, LCADC
• Joanna M Desantis, PT
• Nikhil Deshpande, MD
• Upendra S Dhanjal, MD
• Diagnostic Health Corporation (Healthsouth Diagnostic Center of Cape Atlantic)
• Diaz Pastrana Dental Associates, Inc.
• Efrain Diaz Pastrana, D.M.D.
• Staci Dimattia, LCSW, CADC

• Speech-Language Pathologist in Somers Point, NJ
• Providers in Somers Point, 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 Sep 15, 2014; 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.