Individual provider Active NPI

Brittni Marie Demizio, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Middletown, NJ
National Provider Identifier
1811655418
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00870600 Issued in NJ
Practice address
24 Barbara Ter
Middletown, NJ 07748-1247
Phone
(732) 546-5876
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 41YS00870600 NJ Primary

Addresses

Primary practice location

24 Barbara Ter
Middletown, NJ 07748-1247

Mailing address

24 Barbara Ter
Middletown, NJ 07748-1247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111000018 NJ Practitioner - Qualified Speech Language Pathologist 5597157271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Rehabilitation LLCGroup PAC ID 2466863915, 29 clinicians

Practice addresses (Care Compare)

Shrewsbury, NJ 07702
Phone (917) 406-0478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41YS00870600NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Rehabilitation LLC CurrentSince Nov 1, 2021 Accepting new patients
Parker Creek Neurorehabilitation PastSince Nov 1, 2021 Accepting new patients

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1811655418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BARBARA TER",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BARBARA TER",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481247",
            "telephone_number": "732-546-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIZIO",
        "first_name": "BRITTNI",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00870600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.