Individual provider Active NPI

Stefanie N Chenkin, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bridgewater, NJ
National Provider Identifier
1477951002
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS001750000 Issued in NJ
Practice address
111 Finderne Ave
Bridgewater, NJ 08807-3100
Phone
(908) 722-4140
NPI assigned
Dec 14, 2014
Last updated
Dec 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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 41YS001750000 NJ Primary

Addresses

Primary practice location

111 Finderne Ave
Bridgewater, NJ 08807-3100

Mailing address

7 Shady LN
Bound Brook, NJ 08805-1347
Phone (732) 560-3390

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS001750000NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1477951002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHADY LN",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051347",
            "telephone_number": "732-560-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FINDERNE AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073100",
            "telephone_number": "908-722-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENKIN",
        "first_name": "STEFANIE",
        "middle_name": "N",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS001750000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.