Individual provider Active NPI

Cheryl McClarran Wardrop, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Glen Rock, NJ
National Provider Identifier
1700439635
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00072800 Issued in NJ
Practice address
15 Sterling PL
Glen Rock, NJ 07452-1710
Phone
(201) 652-3068
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 41YS00072800 NJ Primary

Addresses

Primary practice location

15 Sterling PL
Glen Rock, NJ 07452-1710

Mailing address

15 Sterling PL
Glen Rock, NJ 07452-1710
Phone (201) 652-3068

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS00072800NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1700439635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STERLING PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521710",
            "telephone_number": "201-652-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STERLING PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521710",
            "telephone_number": "201-652-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDROP",
        "first_name": "CHERYL",
        "middle_name": "MCCLARRAN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00072800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.