Hailee Porricelli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TL-4093 Issued in NJ

Practice address

2101 Rte 34
Wall Township, NJ 07719-9172

Phone

(732) 659-9536

NPI assigned

Jun 5, 2023

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Speech Pathology Solutions, LLCGroup PAC ID 4082873799, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Speech Pathology Solutions, LLC

  • Speech-Language Pathologist
  • West Creek, NJ
  • NPI 1588930283
  Medicare reassignment Care Compare group NPD
• Shore to Advance Therapy Services

  • Physical Therapist
  • Little Egg Harbor TWP, NJ
  • NPI 1962833160

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1972297984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 RTE 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RTE 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199172",
            "telephone_number": "732-659-9536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 S Main St",
            "address_purpose": "LOCATION",
            "city": "West Creek",
            "state": "NJ",
            "postal_code": "080922912",
            "country_code": "US",
            "telephone_number": "609-488-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRICELLI",
        "first_name": "HAILEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Lisa Pianoforte, PHD, LCSW
• Amanda Pirrotta, PT
• Plastic Surgery Solutions,LLC
• Joseph D. Pollak, D.M.D.
• Stephanie Popper
• Heather M Porter, PA-C
• Daniel Joseph Potoczniak, PH.D.
• Premier Shore Medical LLC
• Premise Health of New Jersey Medical PC
• Presbyterian Home at Monmouth

• Speech-Language Pathologist in Wall Township, NJ
• Providers in Wall Township, 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 Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.