Active NPI
Susan McClintock-Pattay
- Speech-Language Pathologist
- Voorhees, NJ
National Provider Identifier
1770876245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 200 Bowman Dr.
Ste D-285
Voorhees, NJ 08043 - Phone
- (856) 602-4000
- Fax
- (856) 946-1747
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NJ | Primary |
Addresses
Primary practice location
200 Bowman Dr.
Ste D-285
Voorhees, NJ 08043
Mailing address
1020 Kings Hwy N.
Ste 201
Cherry Hill, NJ 08034
Phone (856) 602-4000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1770876245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 KINGS HWY N.",
"address_2": "STE 201",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-602-4000",
"fax_number": "856-842-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOWMAN DR.",
"address_2": "STE D-285",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-602-4000",
"fax_number": "856-946-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTOCK-PATTAY",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.