Individual provider Active NPI

Sharon K. Pearl, M.A.,C.C.C.-S.L.P.

  • Speech-Language Pathologist
  • Cherry Hill, NJ
National Provider Identifier
1609044189
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00079200 Issued in NJ
Practice address
18 Barclay Pavilion E
Cherry Hill, NJ 08034-2161
Phone
(856) 429-1505
Fax
(856) 429-0942
NPI assigned
Feb 18, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 41YS00079200 NJ Primary

Addresses

Primary practice location

18 Barclay Pavilion E
Cherry Hill, NJ 08034-2161

Mailing address

18 Barclay Pavilion E
Cherry Hill, NJ 08034-2161
Phone (856) 429-1505

Other identifiers 1

IdentifierTypeStateIssuer
35098OtherAETNA US HEALTHCARE

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
41YS00079200NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1609044189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BARCLAY PAVILION E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342161",
            "telephone_number": "856-429-1505",
            "fax_number": "856-429-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BARCLAY PAVILION E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342161",
            "telephone_number": "856-429-1505",
            "fax_number": "856-429-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "SHARON",
        "middle_name": "K.",
        "credential": "M.A.,C.C.C.-S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00079200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "35098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.