Individual provider Active NPI

Peter Pantalena, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Tarrytown, NY
National Provider Identifier
1902096951
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
YS00003810 Issued in NJ
Practice address
220 White Plains Rd
Suite 220
Tarrytown, NY 10591-5837
Phone
(914) 631-9020
Fax
(914) 631-9028
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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 YS00003810 NJ Primary

Addresses

Primary practice location

220 White Plains Rd
Suite 220
Tarrytown, NY 10591-5837

Mailing address

1019 Ripley Ave
Westfield, NJ 07090-1643
Phone (908) 232-1032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001870 NJ Practitioner - Qualified Speech Language Pathologist 1557626256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians

Practice addresses (Care Compare)

5 Boxwood Way
Warren, NJ 07059-6859
Phone (908) 801-6425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
YS00003810NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Speech-Language Pathologist CurrentSince May 15, 2018 Accepting new patients
Synaptic Rehabilitation, LLC CurrentSince Nov 28, 2022 Accepting new patients
Fox Rehabilitation Services Inc Speech-Language Pathologist CurrentSince Sep 24, 2018 Accepting new patients
Synaptic Rehab Bridgewater PastSince Nov 28, 2022 Accepting new patients
Prime Rehabilitation Services, Inc. Speech-Language Pathologist PastSince Jan 31, 2021 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 5

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1902096951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 RIPLEY AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901643",
            "telephone_number": "908-232-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WHITE PLAINS RD",
            "address_2": "SUITE 220",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915837",
            "telephone_number": "914-631-9020",
            "fax_number": "914-631-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALENA",
        "first_name": "PETER",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS00003810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.