Individual provider Active NPI

Rachel Elyse Zeitzer

  • Speech-Language Pathologist
  • Marlton, NJ
National Provider Identifier
1023738747
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3934 Issued in NJ
Practice address
751 NJ-73
Suite 1
Marlton, NJ 08053
Phone
(856) 375-2914
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 TL-3934 NJ Primary

Addresses

Primary practice location

751 NJ-73
Suite 1
Marlton, NJ 08053

Mailing address

751 Route 73 N Ste 1
Marlton, NJ 08053-3456
Phone (856) 823-1793

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

State licenses

LicenseStateTypeSpecialty
TL-3934NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Kidz LLC Speech-Language Pathologist CurrentSince Nov 15, 2023 Accepting new patients

Locations

751 Route 73 N
Ste 1
Marlton, NJ 08053
Phone (856) 823-1793

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1023738747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "856-823-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NJ-73",
            "address_2": "SUITE 1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-375-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITZER",
        "first_name": "RACHEL",
        "middle_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.