Active NPI
Summer Claire Staso, M.S, CF-SLP
- Speech-Language Pathologist
- Charlotte Hall, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01851L
- Practice address
- 29770 Three Notch Road, Suite 201
Charlotte Hall, MD 20622 - Phone
- (301) 290-0800
- Fax
- (301) 290-1313
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 01851L | MD | Primary |
Addresses
Primary practice location
29770 Three Notch Road, Suite 201
Charlotte Hall, MD 20622
Mailing address
22932 S Pembrook. Dr.
Hollywood, MD 20636
Phone (301) 290-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1064 S Main St
BLDG 2C
West Creek, NJ 08092-2914
Phone (609) 488-2650
2101 Rte
34 Suite F
Wall Township, NJ 07719-9172
Phone (732) 659-9536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01851L | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathology Solutions, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Coordinated Movements Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2101 State Route 34
Ste F
Wall Township, NJ 07719
Phone (732) 659-9536
1064 S Main St
Bldg 2C
West Creek, NJ 08092
Phone (609) 234-1796
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
- West Creek, NJ
- NPI 1588930283
-
- Speech-Language Pathologist
- Charlotte Hall, MD
- NPI 1659462133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1922659168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22932 S PEMBROOK. DR.",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "20636",
"telephone_number": "301-290-0800",
"fax_number": "301-290-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29770 THREE NOTCH ROAD, SUITE 201",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "20622",
"telephone_number": "301-290-0800",
"fax_number": "301-290-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASO",
"first_name": "SUMMER",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "M.S, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01851L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.