Individual provider Active NPI

Stefanie Nicole Martelle, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Colonia, NJ
National Provider Identifier
1821584772
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00942900 Issued in NJ
Practice address
29 Highland Rd
Colonia, NJ 07067-3809
Phone
(732) 331-9133
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 41YS00942900 NJ Primary

Addresses

Primary practice location

29 Highland Rd
Colonia, NJ 07067-3809

Mailing address

29 Highland Rd
Colonia, NJ 07067-3809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00942900NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuned Into Speech LLC Single Specialty CurrentSince Nov 24, 2024 Accepting new patients

Locations

409 Union Ave
Ste 1
Middlesex, NJ 08846
Phone (732) 595-7781

Organizations & group practices 1

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1821584772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HIGHLAND RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HIGHLAND RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673809",
            "telephone_number": "732-331-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLE",
        "first_name": "STEFANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00942900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.