Individual provider Active NPI

Monica Therese La Salle, MA CCC SLP

  • Speech-Language Pathologist
  • North Wildwood, NJ
National Provider Identifier
1821200668
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL004452L Issued in PA
Practice address
509 Atlantic Ave
North Wildwood, NJ 08260-5842
Phone
(215) 694-0689
Fax
(215) 632-7406
NPI assigned
May 4, 2007
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 SL004452L PA Primary

Addresses

Primary practice location

509 Atlantic Ave
North Wildwood, NJ 08260-5842

Mailing address

509 Atlantic Ave
North Wildwood, NJ 08260-5842
Phone (609) 435-3067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001061 NJ Practitioner - Qualified Speech Language Pathologist 0042497018 Receives reassigned benefits from 5 practitioners
Practice locations: Elmer, NJ; Cape May Court House, NJ

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 S Main St
Seaside Rehabilitations
Cape May Court House, NJ 08210-2325
Phone (609) 435-3067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Communication Solutions Speech-Language Pathologist Current Accepting new patients
Monica Lasalle & Associates Speech-Language Pathologist PastSince Nov 5, 2018 Accepting new patients
Monica Lasalle & Associates Speech-Language Pathologist PastSince Nov 5, 2018 Accepting new patients
Exceptional Kidz Rehabilitation Speech-Language Pathologist Past Accepting new patients

Locations

14500 Bustleton Ave
Ste 1A
Philadelphia, PA 19116
Phone (215) 613-6523

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1821200668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605842",
            "telephone_number": "609-435-3067",
            "fax_number": "609-854-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605842",
            "telephone_number": "215-694-0689",
            "fax_number": "215-632-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALLE",
        "first_name": "MONICA",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004452L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wildwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.