Alexa Danielle Centrella

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00774400 Issued in NJ

Practice address

7000 Matthew Dr Unit 7406
Rockaway, NJ 07866-1250

Phone

(973) 317-8687

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adl RehabGroup PAC ID 8123482486, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adl Rehab

  • Occupational Therapist
  • Rockaway, NJ
  • NPI 1902586670
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1841022324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MATTHEW DR UNIT 7406",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661250",
            "telephone_number": "973-317-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 MATTHEW DR UNIT 7406",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661250",
            "telephone_number": "973-317-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRELLA",
        "first_name": "ALEXA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00774400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Cassidy, LSW
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• Cfo Retail, Inc.
• Alejandra T Chacon, BSN, RN
• Charles Bushong, M D
• Charles M Cummins, OD, PA
• Chiropractic Arts Building

• Speech-Language Pathologist in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.