Christine Ann Dansereau, SPT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00371600 Issued in NJ

Practice address

210 Malapardis Rd
Suite 101
Cedar Knolls, NJ 07927-1109

Phone

(973) 538-8600

NPI assigned

May 22, 2007

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

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.

• Synergy Physical Therapy & Sports Training

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1891877957

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497965453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HORY ST",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032339",
            "telephone_number": "908-241-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD",
            "address_2": "SUITE 101",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271109",
            "telephone_number": "973-538-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSEREAU",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00371600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cunic, PT
• Alexandra J D'Agostini, MD
• Robert J Dagostini Jr., MD
• Calina Daian, WHNP-BC
• Lawrence Daniels III, M.D.
• Harold Danunciacao
• Neeta Das, LCSW
• Suma Dasari, M.D.
• Michele A Dasilva, RRT
• Rebecca Lynn Dauerman, APN

• Speech-Language Pathologist in Cedar Knolls, NJ
• Providers in Cedar Knolls, 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 Jul 8, 2007; 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.