Individual provider Active NPI

Jill A Hirshblond, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Marlton, NJ
National Provider Identifier
1558534073
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS000396500 Issued in NJ
Practice address
5 Eves Dr
Suite 160
Marlton, NJ 08053-3135
Phone
(856) 985-9257
Fax
(856) 985-7943
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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 41YS000396500 NJ Primary

Addresses

Primary practice location

5 Eves Dr
Suite 160
Marlton, NJ 08053-3135

Mailing address

PO Box 264
Ocean Gate, NJ 08740-0264
Phone (732) 504-7872

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS000396500NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1558534073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "OCEAN GATE",
            "state": "NJ",
            "postal_code": "087400264",
            "telephone_number": "732-504-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVES DR",
            "address_2": "SUITE 160",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533135",
            "telephone_number": "856-985-9257",
            "fax_number": "856-985-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHBLOND",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS000396500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.