Phoebe Mullen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01016400 Issued in NJ

Practice address

751 Route 73 N Ste 1
Marlton, NJ 08053-3456

Phone

(856) 375-2914

NPI assigned

Mar 6, 2020

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• MJ Kidz LLC

  • Speech-Language Pathologist
  • Cherry Hill, NJ
  • NPI 1316361033
  NPD

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1295360535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 INDIAN BIRCH RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121908",
            "telephone_number": "856-430-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "856-375-2914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Black Horse Pike",
            "address_2": "Unit D3A",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "NJ",
            "postal_code": "08106",
            "country_code": "US",
            "telephone_number": "856-375-2914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 2nd St Ste E",
            "address_purpose": "LOCATION",
            "city": "Swedesboro",
            "state": "NJ",
            "postal_code": "080851138",
            "country_code": "US",
            "telephone_number": "856-375-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "PHOEBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01016400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Moyer Payne, CRNA
• MSB Healthcare LLC
• Mudra Consulting LLC
• Patrick Mulhall, M.D.
• Jeffrey A Mullen
• Jenna Mullin, PA
• Andrew R Murphy, PA-C
• Ali M Mustafa
• Myoptics 2000 Inc.
• N H Vihaan LLC

• Speech-Language Pathologist in Marlton, NJ
• Providers in Marlton, 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 6, 2020; 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.