Active NPI
Mary Dipalma
- Speech-Language Pathologist
- Collingswood, NJ
National Provider Identifier
1023344827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL007548
- Practice address
- 50 E Knight Ave
Collingswood, NJ 08108-1413 - Phone
- (703) 400-7037
- NPI assigned
- Oct 29, 2009
- 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 | SL007548 | PA | Primary |
Addresses
Primary practice location
50 E Knight Ave
Collingswood, NJ 08108-1413
Mailing address
50 E Knight Ave
Collingswood, NJ 08108-1413
Phone (703) 400-7037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00621100 | Other | NJ | NEW JERSEY DIVISION OFF CONSUMER AFFAIRS SPEECH LANGUAGEPATHOLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL007548 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1023344827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E KNIGHT AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081413",
"telephone_number": "703-400-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E KNIGHT AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081413",
"telephone_number": "703-400-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPALMA",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL007548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY DIVISION OFF CONSUMER AFFAIRS SPEECH LANGUAGEPATHOLOGIST",
"identifier": "41YS00621100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.