Individual provider Active NPI

Ani Nicole Chamesian, CF-SLP

  • Speech-Language Pathologist
  • Huntingdon Valley, PA
National Provider Identifier
1609599232
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034300 Issued in NY
Practice address
152 Marc LN
Huntingdon Valley, PA 19006-3103
Phone
(267) 746-1903
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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
Speech-Language Pathologist 235Z00000X 034300 NY Primary

Addresses

Primary practice location

152 Marc LN
Huntingdon Valley, PA 19006-3103

Mailing address

152 Marc LN
Huntingdon Valley, PA 19006-3103
Phone (267) 746-1903

Other names 1

  • Ani Nicole Javardian Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303002609 NJ Practitioner - Qualified Speech Language Pathologist 2567908130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Isaac Health PCGroup PAC ID 3870933443, 6 clinicians

Practice addresses (Care Compare)

239 Old Bergen Rd
Suite 1010
Jersey City, NJ 07305-2620
Phone (305) 951-7383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034300NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Health of New Jersey, P.C. CurrentSince Jan 20, 2026 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

239 Old Bergen Rd
#1010
Jersey City, NJ 07305
Phone (305) 951-7383

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1609599232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MARC LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063103",
            "telephone_number": "267-746-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MARC LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063103",
            "telephone_number": "267-746-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMESIAN",
        "first_name": "ANI",
        "middle_name": "NICOLE",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANI",
            "last_name": "JAVARDIAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.