Individual provider Active NPI

Jessie Perito

  • Speech-Language Pathologist
  • Holmdel, NJ
National Provider Identifier
1457729410
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00711700 Issued in NJ
Practice address
4 S Holmdel Rd
Holmdel, NJ 07733-2130
Phone
(908) 461-2443
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 41YS00711700 NJ Primary

Addresses

Primary practice location

4 S Holmdel Rd
Holmdel, NJ 07733-2130

Mailing address

2 Tara Lin Dr
Hazlet, NJ 07730-2135
Phone (908) 461-2443

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

State licenses

LicenseStateTypeSpecialty
41YS00711700NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soulful Speech LLC Speech-Language Pathologist Current Accepting new patients
Soulful Speech LLC Speech-Language Pathologist Current Accepting new patients

Locations

4 S Holmdel Rd
Holmdel, NJ 07733
Phone (732) 740-4385

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1457729410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TARA LIN DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302135",
            "telephone_number": "908-461-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "908-461-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERITO",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00711700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.