Active NPI
Alice R Johnson Christensen, MA, CCC-SLP
- Speech-Language Pathologist
- Jackson, NJ
National Provider Identifier
1548576606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009247-1
- Practice address
- 627 Winterberry Blvd
Jackson, NJ 08527-5343 - Phone
- (917) 703-0782
- Fax
- (732) 928-4181
- NPI assigned
- Aug 27, 2010
- Last updated
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009247-1 | NY | Primary |
Addresses
Primary practice location
627 Winterberry Blvd
Jackson, NJ 08527-5343
Mailing address
PO Box 719
Clarksburg, NJ 08510-0719
Phone (917) 703-0782
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009247-1 | NY | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1548576606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "CLARKSBURG",
"state": "NJ",
"postal_code": "085100719",
"telephone_number": "917-703-0782",
"fax_number": "732-928-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 WINTERBERRY BLVD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275343",
"telephone_number": "917-703-0782",
"fax_number": "732-928-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON CHRISTENSEN",
"first_name": "ALICE",
"middle_name": "R",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009247-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
- Jersey Advanced MRI and Diagnostic Center
- Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medical Group at Jackson Village)
- Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medicine Group at Howell Jackson Medical C)
- Sharon Lynn Jessie, LCSW
- John Drulle MD & Emilia Eiras MD PC
- Vania Johnson
- Kevin Richard Jones, BCBA, MED
- Joy Occupational Therapy Corp
- Julian Sansone, DPM, PC
- Rose Jungreis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.