Individual provider Active NPI

Melissa Burnham, MA, SLP-CCC

  • Speech-Language Pathologist
  • Chatham, NJ
National Provider Identifier
1720524119
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00756600 Issued in NJ
Practice address
5 Rutgers St
Chatham, NJ 07928-2846
Phone
(973) 886-1012
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00756600 NJ Primary

Addresses

Primary practice location

5 Rutgers St
Chatham, NJ 07928-2846

Mailing address

5 Rutgers St
Chatham, NJ 07928-2846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519001579 NJ Practitioner - Qualified Speech Language Pathologist 3577962844 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41YS00756600NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Rehab Corp Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients
Metro Physical Therapy LLC Speech-Language Pathologist CurrentSince Apr 15, 2025 Accepting new patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince Apr 1, 2021 Accepting new patients

Locations

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

800 E Gate Blvd
Garden City, NY 11530

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

Organizations & group practices 3

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1720524119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUTGERS ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RUTGERS ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282846",
            "telephone_number": "973-886-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "MELISSA",
        "credential": "MA, SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00756600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.