Individual provider Active NPI

Adrienne Murphy, MA CCC-SLP

  • Early Intervention Provider Agency
  • Hoboken, NJ
National Provider Identifier
1144758657
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
030354-01 Issued in NY
Practice address
1025 Maxwell LN Apt 1106
Hoboken, NJ 07030-6827
Phone
(201) 923-7708
NPI assigned
May 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 41YS00287800 NJ
Speech-Language Pathologist 235Z00000X 030354-01 NY
Early Intervention Provider Agency 252Y00000X 030354-01 NY Primary

Addresses

Primary practice location

1025 Maxwell LN Apt 1106
Hoboken, NJ 07030-6827

Mailing address

1025 Maxwell LN Apt 1106
Hoboken, NJ 07030-6827
Phone (201) 923-7708

Other practice location 1

300 Knickerbocker Rd
Cresskill, NJ 07626-1350
Phone (201) 580-5085

Other practice location 2

1025 Maxwell Ln Apt 1106
Hoboken, NJ 07030-6827
Phone (201) 923-7708

Other identifiers 1

IdentifierTypeStateIssuer
030354OtherNYSPEECH-LANGUAGE PATHOLOGIST

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
41YS00287800NJMDSpeech-Language Pathologist
030354-01NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Therapy Group Speech-Language Pathologist Past Accepting new patients

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": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1144758657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAXWELL LN APT 1106",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306827",
            "telephone_number": "201-923-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAXWELL LN APT 1106",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306827",
            "telephone_number": "201-923-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "Cresskill",
            "state": "NJ",
            "postal_code": "076261350",
            "country_code": "US",
            "telephone_number": "201-580-5085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Maxwell Ln Apt 1106",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070306827",
            "country_code": "US",
            "telephone_number": "201-923-7708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "ADRIENNE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00287800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030354-01",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "030354-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGIST",
            "identifier": "030354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.