Individual provider Active NPI

Alexis A Passarelli, MS CCC-SLP

  • Speech-Language Pathologist
  • Phillipsburg, NJ
National Provider Identifier
1598903791
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YSOO481500 Issued in NJ
Practice address
390 Red School LN
Phillipsburg, NJ 08865-2230
Phone
(908) 859-0200
NPI assigned
Jan 26, 2009
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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 41YSOO481500 NJ Primary
Speech-Language Pathologist 235Z00000X SL008523 PA

Addresses

Primary practice location

390 Red School LN
Phillipsburg, NJ 08865-2230

Mailing address

390 Red School LN
Phillipsburg, NJ 08865-2230
Phone (908) 859-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002390 NJ Practitioner - Qualified Speech Language Pathologist 6608291711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

121 Shelley Dr
Suite 2D
Hackettstown, NJ 07840-2530
Phone (201) 787-6786

131 Madison Ave
FL 3
Morristown, NJ 07960-7360
Phone (201) 787-6786

8 Humphrey Rd
Morristown, NJ 07960-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YSOO481500NJMDSpeech-Language Pathologist
SL008523PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince Jul 15, 2020 Accepting new patients
Morris Speech Therapy Associates, Limited Liability Company Speech-Language Pathologist CurrentSince May 26, 2021 Accepting new patients

Locations

121 Shelley Dr
Ste 2D
Hackettstown, NJ 07840

131 Madison Ave
Fl 3
Morristown, NJ 07960
Phone (973) 309-4324

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1598903791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RED SCHOOL LN",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652230",
            "telephone_number": "908-859-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 RED SCHOOL LN",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652230",
            "telephone_number": "908-859-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLI",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YSOO481500",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.