Melissa Ann Mantone, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014938 Issued in PA

Practice address

751 Route 73 N Ste 1
Marlton, NJ 08053-3456

Phone

(856) 375-2914

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• MJ Kidz LLC

  • Speech-Language Pathologist
  • Cherry Hill, NJ
  • NPI 1316361033

  Single Specialty

  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1992397160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S 12TH ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481001",
            "telephone_number": "862-763-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "856-375-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTONE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Holsman Mamalis, M.S.
• Angela Sheri Mancao, MSW, LSW
• Marissa Mancuso, M.A., BCBA
• Steven Marc Manders, MD
• Carol M Mangini, P.T., DPT
• Matthew Thomas Marcen, MS, ATC
• Colleen R Marchese, CCC-SLP
• Tracy Marchetta, PA-C
• Robert A Marchinek, DDS
• Margaret Clark Soriano LLC

• Speech-Language Pathologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.