Individual provider Active NPI

Carly Shaina Schiff, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Princeton, NJ
National Provider Identifier
1649647371
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00977700 Issued in NJ
Practice address
256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone
(609) 430-9200
Fax
(609) 430-9202
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014216 PA
Speech-Language Pathologist 235Z00000X 025710 NY
Speech-Language Pathologist 235Z00000X SP11872 OH
Speech-Language Pathologist 235Z00000X 41YS00977700 NJ Primary

Addresses

Primary practice location

256 Bunn Dr Ste a
Princeton, NJ 08540-2859

Mailing address

256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone (609) 430-9200

Other names 1

  • Carly Shaina Cantor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190402002136 NJ Practitioner - Qualified Speech Language Pathologist 4486956596 Reassigns benefits to 1 organization
I20210427000003 PA Practitioner - Qualified Speech Language Pathologist 4486956596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

256 Bunn Dr
Suite a
Princeton, NJ 08540-2859
Phone (609) 430-9200

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41YS00977700NJMDSpeech-Language Pathologist
SP11872OHMDSpeech-Language Pathologist
SL014216PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Apr 1, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Apr 1, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 22, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

601 Ewing St
Princeton, NJ 08540
Phone (609) 759-8500

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

111 Floral Vale Blvd
Yardley, PA 19067
Phone (445) 777-5550

Organizations & group practices 5

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1649647371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFF",
        "first_name": "CARLY",
        "middle_name": "SHAINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014216",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025710",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11872",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00977700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "CANTOR",
            "middle_name": "SHAINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.