Individual provider Active NPI

Marguerite Stamm Della Fera, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Nazareth, PA
National Provider Identifier
1851691414
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009779 Issued in PA
Practice address
4578 Oakwood LN
Nazareth, PA 18064-8670
Phone
(732) 804-8028
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009779 PA Primary
Speech-Language Pathologist 235Z00000X 41YS00568200 NJ

Addresses

Primary practice location

4578 Oakwood LN
Nazareth, PA 18064-8670

Mailing address

PO Box 123
Shawnee on Delaware, PA 18356-0123
Phone (570) 421-5098

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

State licenses

LicenseStateTypeSpecialty
41YS00568200NJMDSpeech-Language Pathologist
SL009779PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1851691414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "SHAWNEE ON DELAWARE",
            "state": "PA",
            "postal_code": "183560123",
            "telephone_number": "570-421-5098",
            "fax_number": "570-421-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 OAKWOOD LN",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648670",
            "telephone_number": "732-804-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM DELLA FERA",
        "first_name": "MARGUERITE",
        "name_prefix": "Mrs.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009779",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00568200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.