Individual provider Active NPI

Meghan Hayes

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1902448269
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014024 Issued in PA
Practice address
4025 Chestnut St
Philadelphia, PA 19104-3081
Phone
(267) 838-7776
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS01014400 NJ
Speech-Language Pathologist 235Z00000X SL014024 PA Primary

Addresses

Primary practice location

4025 Chestnut St
Philadelphia, PA 19104-3081

Mailing address

407 South St # 3F
Philadelphia, PA 19147-1624
Phone (267) 884-4582

Other practice location 1

751 Route 73 N Ste 1
Marlton, NJ 08053-3456
Phone (856) 375-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114000950 NJ Practitioner - Qualified Speech Language Pathologist 9436506359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS01014400NJMDSpeech-Language Pathologist
SL014024PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Kidz LLC Speech-Language Pathologist CurrentSince Nov 15, 2023 Accepting new patients

Locations

900 Haddon Ave
Ste 202
Collingswood, NJ 08108

751 Route 73 N
Ste 1
Marlton, NJ 08053
Phone (856) 823-1793

617 Auburn Ave
Ste 103
Swedesboro, NJ 08085
Phone (856) 467-6107

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1902448269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SOUTH ST # 3F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471624",
            "telephone_number": "267-884-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043081",
            "telephone_number": "267-838-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Route 73 N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533456",
            "country_code": "US",
            "telephone_number": "856-375-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MEGHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01014400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.