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Corinne Primavera

Speech-Language Pathologist β€’ Hackettstown, NJ

Active NPI 1407382393 Individual Practitioner Female Practitioner
Practice location in NPPES

254b Mountain Ave Ste 100
Hackettstown, NJ 078402413

Call 9088526400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

254b Mountain Ave Ste 100

Hackettstown, NJ 078402413

Telephone 9088526400
Fax 9088526450
Organization at the Same NPPES Address or Phone
Family Focused Foot & Ankle Inc Facility NPI 1992672745

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hamburg, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hackettstown and New Jersey

6 active clinicians are listed under Speech-Language Pathologist with a practice address in Hackettstown, NJ (4,917 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NJ 41YS00873200

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Secondary Practice Locations

17 State Rt 23 N

Hamburg, NJ 074191419

Phone: 9738277800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Tammy Castles , FNP-BC

Family Medicine

NPI 1295517373

Family Nurse Practitioner (Board Certified)

Silvana Dasilva , MSN, RN, FNP-C

Nurse Practitioner - Family

NPI 1215699228

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Certified)

Antonios Leontaris , PA

Physician Assistant

NPI 1679240782

Physician Assistant

Dr. Jeffrey Merkle , MD

Internal Medicine

NPI 1295721165

Doctor of Medicine (M.D.)

Tara Olivo-Moore , FNP

Nurse Practitioner - Family

NPI 1134637200

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 22, 2021

Registered at 254B MOUNTAIN AVE STE 100, HACKETTSTOWN, NJ 078402413 (Tel: 9088526400)

πŸ“
Updated Business Mailing Address September 22, 2021

Registered at LB# 7550, P.O. BOX 95000, PHILADELPHIA, PA 191957550 (Tel: 8443621735)

βœ…
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2017

Registered at 491 BLOOMFIELD AVE, MONTCLAIR, NJ 070423406 (Tel: 8626219290)

πŸ“
Business Mailing Address (Initial Record) May 11, 2017

Registered at 491 BLOOMFIELD AVE, MONTCLAIR, NJ 070423406

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2017

Recorded as CORINNE PRIMAVERA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Speech-Language Pathologist (license number reported to NPPES: NJ 41YS00873200)

🟒
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407382393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: September 22, 2021
Sole Proprietor: Yes

Mailing Address

Lb# 7550, P.o. Box 95000

Philadelphia, PA 191957550

Phone: 8443621735

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.