Malissa Butler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00842900 Issued in NJ

Practice address

524 N West Blvd
Vineland, NJ 08360-2845

Phone

(856) 405-4200

NPI assigned

Apr 10, 2016

Last updated

Apr 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Belle Home Rehabilitation

  • Physical Therapy Clinic/Center
  • Williamstown, NJ
  • NPI 1790430213
  Medicare reassignment NPD

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460246400000",
    "number": "1861856494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 E ELMER RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616517",
            "telephone_number": "609-501-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N WEST BLVD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602845",
            "telephone_number": "856-405-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MALISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00842900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Burlingame
• Brianna Nicole Burns, BCBA
• Daniel Burritt
• Tiffany Burt
• Kerry Ann Burton-Parker
• Eric Justin Buxbaum, D.O.
• Lisa Bybel
• Kimberly Ann Byrd
• C. E. Pasupathy
• Curt William Cackovic, D.O.

• Speech-Language Pathologist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.