Active NPI
Amanda M Sargenti
- Speech-Language Pathologist
- Nutley, NJ
National Provider Identifier
1922419613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00756800
- Practice address
- 386 Franklin Ave
Nutley, NJ 07110-1646 - Phone
- (973) 798-4000
- NPI assigned
- May 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00756800 | NJ | Primary |
Addresses
Primary practice location
386 Franklin Ave
Nutley, NJ 07110-1646
Mailing address
834 Hudson St
Apt 1a
Hoboken, NJ 07030-5023
Phone (201) 739-2095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00756800 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Speech Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Therapy Plus LLC | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Nutley, NJ
- NPI 1467963439
-
- Hearing and Speech Clinic/Center
- Glen Rock, NJ
- NPI 1841670684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1922419613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 HUDSON ST",
"address_2": "APT 1A",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305023",
"telephone_number": "201-739-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 FRANKLIN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101646",
"telephone_number": "973-798-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENTI",
"first_name": "AMANDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00756800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.