Active NPI
Rachel Simone Mizrahi, M.S., CCC-SLP
- Speech-Language Pathologist
- Cherry Hill, NJ
National Provider Identifier
1063110153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS01171400
- Practice address
- 311 Monmouth Dr
Cherry Hill, NJ 08002-2005 - Phone
- (215) 601-0057
- NPI assigned
- Feb 20, 2023
- 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 | 41YS01171400 | NJ | Primary |
Addresses
Primary practice location
311 Monmouth Dr
Cherry Hill, NJ 08002-2005
Mailing address
311 Monmouth Dr
Cherry Hill, NJ 08002-2005
Phone (215) 601-0057
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01171400 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1063110153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MONMOUTH DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022005",
"telephone_number": "215-601-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MONMOUTH DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022005",
"telephone_number": "215-601-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZRAHI",
"first_name": "RACHEL",
"middle_name": "SIMONE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS01171400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.