Active NPI
Mary Christine Hutchinson, MSP, CCC-SLP
- Speech-Language Pathologist
- Sewell, NJ
National Provider Identifier
1487741393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00726000
- Practice address
- 455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328 - Phone
- (215) 743-4435
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005883 | GA | |
| Speech-Language Pathologist | 235Z00000X | 41YS00726000 | NJ | Primary |
Addresses
Primary practice location
455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328
Mailing address
10501 Academy Rd Ste N
Philadelphia, PA 19114-1137
Phone (215) 743-4435
Other practice location 1
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474774959A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130727000014 | NJ | Practitioner - Qualified Speech Language Pathologist | 9234370610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005883 | GA | MD | Speech-Language Pathologist |
| 41YS00726000 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Past | Accepting new patients | |
| S & H Rehabilitation Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
- Physical Therapist
- Northfield, NJ
- NPI 1891083671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1487741393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 ACADEMY RD STE N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141137",
"telephone_number": "215-743-4435",
"fax_number": "866-210-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 HURFFVILLE CROSSKEYS RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802328",
"telephone_number": "215-743-4435"
}
],
"practiceLocations": [
{
"address_1": "7 Carnegie Plz",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080031000",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "866-210-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005883",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00726000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "474774959A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.