Active NPI
Jabraya Macdonald
- Speech-Language Pathologist
- Newark, DE
National Provider Identifier
1043197031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 630 Churchmans Rd Ste 100a
Newark, DE 19702-1943 - Phone
- (484) 802-8746
- Fax
- (484) 802-8746
- NPI assigned
- Aug 20, 2025
- Last updated
- Aug 20, 2025
- 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 | NU | Primary |
Addresses
Primary practice location
630 Churchmans Rd Ste 100a
Newark, DE 19702-1943
Mailing address
14 Printz Ave
Norwood, PA 19074-1713
Phone (484) 802-8746
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1043197031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PRINTZ AVE",
"city": "NORWOOD",
"state": "PA",
"postal_code": "190741713",
"telephone_number": "484-802-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 CHURCHMANS RD STE 100A",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021943",
"telephone_number": "484-802-8746",
"fax_number": "484-802-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JABRAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.