Individual provider Active NPI

Alexa Martucci, SLP

  • Speech-Language Pathologist
  • Eatontown, NJ
National Provider Identifier
1902576747
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01149600 Issued in NJ
Practice address
135 Highway 35
Eatontown, NJ 07724-1813
Phone
(855) 660-4325
NPI assigned
Sep 14, 2021
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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
Speech-Language Pathologist 235Z00000X 41YS01149600 NJ Primary

Addresses

Primary practice location

135 Highway 35
Eatontown, NJ 07724-1813

Mailing address

41 Longview Ave
Freehold, NJ 07728-1519

Other practice location 1

2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Phone (732) 274-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410000534 NJ Practitioner - Qualified Speech Language Pathologist 3870931157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

135 RT
Suite 35
Eatontown, NJ 07724
Phone (848) 308-4915

41 Longview Ave
Freehold, NJ 07728-1519
Phone (908) 415-4291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS01149600NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. Speech-Language Pathologist Current Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Jan 7, 2025 Accepting new patients
Mind2Mouthspeechtherapy Speech-Language Pathologist CurrentSince Mar 11, 2024 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. Speech-Language Pathologist CurrentSince Jan 7, 2025 Accepting new patients

Locations

135 NJ 35
Eatontown, NJ 07724
Phone (848) 308-4911

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1902576747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LONGVIEW AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241813",
            "telephone_number": "855-660-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Deerpark Dr",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088521919",
            "country_code": "US",
            "telephone_number": "732-274-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "ALEXA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01149600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.