Individual provider Active NPI

Jennie Nicole Fiamingo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Williamstown, NJ
National Provider Identifier
1841728987
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00939000 Issued in NJ
Practice address
925 S Black Horse Pike Ste B
Williamstown, NJ 08094-1900
Phone
(856) 885-2493
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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 41YS00939000 NJ Primary

Addresses

Primary practice location

925 S Black Horse Pike Ste B
Williamstown, NJ 08094-1900

Mailing address

925 S Black Horse Pike Ste B
Williamstown, NJ 08094-1900
Phone (856) 885-2493

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Little Waves Speech & Aac Therapy, LLC Speech-Language Pathologist Current Accepting new patients
Technology for Education & Communication Consulting, Inc. Speech-Language Pathologist CurrentSince Jun 7, 2020 Accepting new patients

Locations

925 S Black Horse Pike
#B
Williamstown, NJ 08094
Phone (856) 236-7781

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1841728987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S BLACK HORSE PIKE STE B",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941900",
            "telephone_number": "856-885-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S BLACK HORSE PIKE STE B",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941900",
            "telephone_number": "856-885-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIAMINGO",
        "first_name": "JENNIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00939000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.