Jennifer A McIlvaine

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14077373 Issued in NJ

Practice address

925 S Black Horse Pike
Williamstown, NJ 08094-1900

Phone

(856) 236-7781

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1124520242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 SYKESVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943249",
            "telephone_number": "856-562-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941900",
            "telephone_number": "856-236-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVAINE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "14077373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen McCabe-Odri, ED.D., BCBA
• Jennifer H McConnell
• Kevin T. McConnell
• Timothy Michael McDaniels Jr., BCBA
• Rosemary Brennan McGonigle, APN
• Javeena McIntyre
• Francis C Meeteer, DO
• David J Mellish, OD
• Mary M Merkel-Custer, MSN, APN-C, CARN-AP
• Melinda S. Merkel

• Speech-Language Pathologist in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.