Individual provider Active NPI

Julianna Cianfano

  • Speech-Language Pathologist
  • Eatontown, NJ
National Provider Identifier
1760077986
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Phone
(732) 493-3100
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 Primary

Addresses

Primary practice location

1 Main St Ste 505
Eatontown, NJ 07724-3903

Mailing address

1 Main St Ste 505
Eatontown, NJ 07724-3903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000745 NJ Practitioner - Qualified Speech Language Pathologist 0941617021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Rehabilitation Services, Inc. Speech-Language Pathologist CurrentSince Jan 26, 2024 Accepting new patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince Mar 20, 2021 Accepting new patients

Locations

1 Main St
Ste 505
Tinton Falls, NJ 07724

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1760077986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 505",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 505",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243903",
            "telephone_number": "732-493-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANFANO",
        "first_name": "JULIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.