Individual provider Active NPI

Joanne Stasiuk, M.A., CCC SLP

  • Speech-Language Pathologist
  • Burlington, NJ
National Provider Identifier
1992352371
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00175700 Issued in NJ
Practice address
2305 Rancocas Rd
Burlington, NJ 08016-4113
Phone
(609) 462-3048
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 41YS00175700 NJ Primary

Addresses

Primary practice location

2305 Rancocas Rd
Burlington, NJ 08016-4113

Mailing address

34 E Acres Dr
Hamilton, NJ 08620-9733
Phone (609) 462-3048

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS00175700NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1992352371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E ACRES DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086209733",
            "telephone_number": "609-462-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 RANCOCAS RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164113",
            "telephone_number": "609-462-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIUK",
        "first_name": "JOANNE",
        "credential": "M.A., CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.