Individual provider Active NPI

Jennifer Vill, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Morristown, NJ
National Provider Identifier
1053758987
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00710800 Issued in NJ
Practice address
320 South St Apt 16D
Morristown, NJ 07960-6066
Phone
(732) 690-7146
NPI assigned
Jun 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 41YS00710800 NJ Primary

Addresses

Primary practice location

320 South St Apt 16D
Morristown, NJ 07960-6066

Mailing address

320 South St Apt 16D
Morristown, NJ 07960-6066
Phone (732) 690-7146

Other practice location 1

4 Frost Ct
Morganville, NJ 07751-1510
Phone (732) 690-7146

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00710800NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1053758987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTH ST APT 16D",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606066",
            "telephone_number": "732-690-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTH ST APT 16D",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606066",
            "telephone_number": "732-690-7146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Frost Ct",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077511510",
            "country_code": "US",
            "telephone_number": "732-690-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILL",
        "first_name": "JENNIFER",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-01",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00710800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.