Jaclyn Nicole Lutz, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01378400 Issued in NJ

Practice address

766 Broad St
Shrewsbury, NJ 07702-4203

Phone

(855) 428-8246

Fax

(855) 428-8246

NPI assigned

Jul 24, 2025

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

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1275415713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MOONLIGHT CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404508",
            "telephone_number": "908-914-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024203",
            "telephone_number": "855-428-8246",
            "fax_number": "855-428-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "JACLYN NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01378400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broderick D Longo
• Jacqueline Lopresti, DO
• Prakash S Lothe, MD
• Stanley Lu, MD
• Alyssa Grace Lundy, LSW, LCADC
• Noelle Celine Lytwyn, LCSW
• Mary Ellen Madden, RPH
• Lori A. Magoulas, PH.D., R.D.
• Peter J. Magoulas, D.D.S.
• Beth E Maguire, LCSW

• Speech-Language Pathologist in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.