Individual provider Active NPI

Gina Marucci, CCC-SLP

  • Speech-Language Pathologist
  • Sewell, NJ
National Provider Identifier
1841849379
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14064674 Issued in NJ
Practice address
137 Egg Harbor Rd Ste H
Sewell, NJ 08080-9404
Phone
(609) 221-4179
NPI assigned
Sep 7, 2019
Last updated
Sep 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 14064674 NJ Primary

Addresses

Primary practice location

137 Egg Harbor Rd Ste H
Sewell, NJ 08080-9404

Mailing address

137 Egg Harbor Rd Ste H
Sewell, NJ 08080-9404
Phone (609) 221-4179

Other names 1

  • Gina Parker Former name

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

State licenses

LicenseStateTypeSpecialty
14064674NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Between the Lines: a Clinic Offering Reading, Speech Language, and Occ Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

137 Egg Harbor Rd
Ste H
Sewell, NJ 08080
Phone (215) 280-1404

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1841849379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EGG HARBOR RD STE H",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809404",
            "telephone_number": "609-221-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EGG HARBOR RD STE H",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809404",
            "telephone_number": "609-221-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCCI",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "14064674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "PARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.