Individual provider Active NPI

Stephanie Sacco

  • Speech-Language Pathologist
  • Warren, NJ
National Provider Identifier
1447014352
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01296200 Issued in NJ
Practice address
67A Mountain Blvd Ext Ste 1
Warren, NJ 07059-5626
Phone
(908) 873-6337
Fax
(908) 332-5668
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS01296200 NJ Primary

Addresses

Primary practice location

67A Mountain Blvd Ext Ste 1
Warren, NJ 07059-5626

Mailing address

1716 Washington Valley Rd
Martinsville, NJ 08836-2006
Phone (908) 655-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002294 NJ Practitioner - Qualified Speech Language Pathologist 1052759677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS01296200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Home Therapy LLC Speech-Language Pathologist CurrentSince Sep 19, 2025 Accepting new patients
Patient Care Specialty Group PC Speech-Language Pathologist CurrentSince Nov 17, 2024 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447014352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 WASHINGTON VALLEY RD",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362006",
            "telephone_number": "908-655-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67A MOUNTAIN BLVD EXT STE 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595626",
            "telephone_number": "908-873-6337",
            "fax_number": "908-332-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01296200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.