Individual provider Active NPI

Jean Marie Lucarelli, MS, CCC SLP

  • Speech-Language Pathologist
  • Hoboken, NJ
National Provider Identifier
1386980407
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00657800 Issued in NJ
Practice address
505 4TH St
Apt 519
Hoboken, NJ 07030-2697
Phone
(201) 739-4089
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00657800 NJ Primary

Addresses

Primary practice location

505 4TH St
Apt 519
Hoboken, NJ 07030-2697

Mailing address

42 Perrin Dr
Wayne, NJ 07470-4034

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1386980407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PERRIN DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 4TH ST",
            "address_2": "APT 519",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302697",
            "telephone_number": "201-739-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCARELLI",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "MS, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00657800",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2016; 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.