Heather Gennello

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00976500 Issued in NJ

Practice address

231 Crosswicks Rd
Fieldsboro, NJ 08505-2602

Phone

(609) 372-4613

NPI assigned

Jan 18, 2024

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 names 1

• Heather O'Laughlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C & S LLC

  • Hearing and Speech Clinic/Center
  • Delran, NJ
  • NPI 1063118743
  NPD (past)
• Speech Academy LLC

  • Speech-Language Pathologist
  • Bordentown, NJ
  • NPI 1588965834
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1487415345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 4",
            "city": "FIELDSBORO",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-372-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD",
            "city": "FIELDSBORO",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-372-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNELLO",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00976500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "O'LAUGHLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Krusen, LSW

• All providers in Fieldsboro, NJ
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.