Leonardo Colavita, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00494900 Issued in NJ

Practice address

15 Dellwood LN
Somerset, NJ 08873-1551

Phone

(732) 545-4200

NPI assigned

Mar 24, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1437276375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KEARNY AVE",
            "address_2": "1A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175587",
            "telephone_number": "973-222-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DELLWOOD LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731551",
            "telephone_number": "732-545-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITA",
        "first_name": "LEONARDO",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00494900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearstep Solutions Inc
• Mary Clinton
• Penelope J Cohen, MD
• Catherine Colaizzo, D.C.
• Casey Ann Colangelo, PA
• Richard D Colavita, M.D.
• Bianca Coleman, PH.D.
• Collabrix LLC
• Tatiana Colletti, PA
• Otis Collier Jr., M.A.

• Speech-Language Pathologist in Somerset, NJ
• Providers in Somerset, 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 Aug 18, 2020; 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.