Grayce Frances Hennessy, M.S., CCC-SLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41YS00967800 Issued in NJ

Practice address

163 E Main St
Little Falls, NJ 07424-1711

Phone

(973) 339-0141

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1265012793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JEFFERSON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241711",
            "telephone_number": "973-339-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "GRAYCE",
        "middle_name": "FRANCES",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "41YS00967800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grayce@ftckids.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Main St",
            "city": "Little Falls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074241711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grayce@ftckids.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Main St",
            "city": "Little Falls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074241711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grayce@ftckids.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Main St",
            "city": "Little Falls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074241711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grayce@ftckids.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Main St",
            "city": "Little Falls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074241711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pediatrics Physician in Little Falls, NJ
• Providers in Little Falls, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.