Nicole Amisano, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

80 Stecher Ave
Delran, NJ 08075-1463

Phone

(856) 492-1355

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Language Associates LLC

  • Speech-Language Pathologist
  • Mount Laurel, NJ
  • NPI 1760916969
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1578196705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURKE DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553927",
            "telephone_number": "609-332-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STECHER AVE",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751463",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISANO",
        "first_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advocare, LLC (Advocare Delran Pediatrics)
• Madison Lynn Aguanno, RN
• Soo K Ahn, DPT
• Shaina Alleyne
• Alliance OB GYN Consultants LLC
• Lauren Anderson, MS CCC-SLP
• Alana Annunziato
• Olanike Babatunde
• Diamond Bailey
• Joyce Anita Baker

• Speech-Language Pathologist in Delran, NJ
• Providers in Delran, 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 Feb 17, 2020; 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.