Individual provider Active NPI

Allison Mizzone, M.S, CF-SLP

  • Speech-Language Pathologist
  • Lincoln Park, NJ
National Provider Identifier
1902674930
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL4326 Issued in NJ
Practice address
59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772
Phone
(201) 675-3396
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 TL4326 NJ Primary

Addresses

Primary practice location

59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772

Mailing address

59 Beaverbrook Rd Ste 303C
Lincoln Park, NJ 07035-1772

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TL4326NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Speech Therapy LLC Speech-Language Pathologist CurrentSince Dec 24, 2023 Accepting new patients

Locations

59 Beaverbrook Rd
Ste 303C
Lincoln Park, NJ 07035
Phone (201) 675-3396

Organizations & group practices 1

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1902674930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK RD STE 303C",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK RD STE 303C",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351772",
            "telephone_number": "201-675-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZZONE",
        "first_name": "ALLISON",
        "credential": "M.S, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL4326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.