Individual provider Active NPI

Stephanie Rowe Shaeffer, MS CCC-SLP CERT. AVT

  • Speech-Language Pathologist
  • Chester, NJ
National Provider Identifier
1972654366
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00199400 Issued in NJ
Practice address
11 Burnett Dr
Chester, NJ 07930-2716
Phone
(908) 879-0404
Fax
(908) 879-1474
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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 41YS00199400 NJ Primary

Addresses

Primary practice location

11 Burnett Dr
Chester, NJ 07930-2716

Mailing address

PO Box 87
Chester, NJ 07930-0087
Phone (908) 879-0404

Other names 1

  • Mrs. Stephanie R Shaeffer-Trevisan Other name

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1972654366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079300087",
            "telephone_number": "908-879-0404",
            "fax_number": "908-879-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BURNETT DR",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302716",
            "telephone_number": "908-879-0404",
            "fax_number": "908-879-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFFER",
        "first_name": "STEPHANIE",
        "middle_name": "ROWE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP CERT. AVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00199400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHAEFFER-TREVISAN",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "MS CCC-SLP CERT. AVT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.