Individual provider Active NPI

Ian Lawrence, MS, CCC-SLP

  • Speech-Language Pathologist
  • Camden, NJ
National Provider Identifier
1659044238
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00838300 Issued in NJ
Practice address
3 Cooper PLZ RM 511
Camden, NJ 08103-1407
Phone
(856) 342-3060
Fax
(856) 968-8358
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 41YS00838300 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 511
Camden, NJ 08103-1407

Mailing address

3 Cooper PLZ RM 511
Camden, NJ 08103-1407
Phone (856) 342-3060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence-ian@cooperhealth.edu Direct Cooper University Hospital

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 Science

State licenses

LicenseStateTypeSpecialty
41YS00838300NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1659044238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 511",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031407",
            "telephone_number": "856-342-3060",
            "fax_number": "856-968-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 511",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031407",
            "telephone_number": "856-342-3060",
            "fax_number": "856-968-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "IAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00838300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence-ian@cooperhealth.edu",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Cooper University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Cooper Plz Rm 511",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081031407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.