Individual provider Active NPI

Vanessa A Tario, MS, CCC, SLP

  • Speech-Language Pathologist
  • Wayne, NJ
National Provider Identifier
1548937352
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01077300 Issued in NJ
Practice address
600 Valley Rd Ste 206a
Wayne, NJ 07470-3551
Phone
(315) 889-1690
NPI assigned
Aug 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1138621 NJ
Speech-Language Pathologist 235Z00000X 41YS01077300 NJ Primary

Addresses

Primary practice location

600 Valley Rd Ste 206a
Wayne, NJ 07470-3551

Mailing address

16-03 Chandler Dr
Fair Lawn, NJ 07410-2710
Phone (201) 994-6343

Other practice location 1

225 Glenwild Ave
Bloomingdale, NJ 07403-1422
Phone (973) 838-0555

Other names 1

  • Vanessa A Monserrat Former name

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
1138621NJMDSpeech-Language Pathologist
41YS01077300NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1548937352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-03 CHANDLER DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102710",
            "telephone_number": "201-994-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD STE 206A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703551",
            "telephone_number": "315-889-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Glenwild Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "NJ",
            "postal_code": "074031422",
            "country_code": "US",
            "telephone_number": "973-838-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIO",
        "first_name": "VANESSA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "1138621",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01077300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MONSERRAT",
            "middle_name": "A",
            "credential": "MS, CCC,S LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.