Individual provider Active NPI

Carissa Ferraro

  • Speech-Language Pathologist
  • Montvale, NJ
National Provider Identifier
1053810192
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027419 Issued in NY
Practice address
14 Maple Ave
Montvale, NJ 07645-2608
Phone
(201) 739-1085
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 027419 NY Primary

Addresses

Primary practice location

14 Maple Ave
Montvale, NJ 07645-2608

Mailing address

14 Maple Ave
Montvale, NJ 07645-2608
Phone (201) 739-1085

Other practice location 1

480 Albany Post Rd
Briarcliff Manor, NY 10510-2438
Phone (914) 941-9513 ext. 530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250204002464 NY Practitioner - Qualified Speech Language Pathologist 0648700823 Reassigns benefits to 1 organization
I20250407000746 NJ Practitioner - Qualified Speech Language Pathologist 0648700823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Mercy College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians
Jewish Home Assisted LivingGroup PAC ID 9335581198, 9 clinicians

Practice addresses (Care Compare)

1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422

685 Westwood Ave
River Vale, NJ 07675-6335
Phone (201) 666-2370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027419NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Speech-Language Pathologist CurrentSince Jan 1, 2025 Accepting new patients
Jewish Home Assisted Living Speech-Language Pathologist CurrentSince Apr 2, 2025 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

685 Westwood Ave
River Vale, NJ 07675
Phone (201) 478-4260

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053810192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452608",
            "telephone_number": "201-739-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452608",
            "telephone_number": "201-739-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Briarcliff Manor",
            "state": "NY",
            "postal_code": "105102438",
            "country_code": "US",
            "telephone_number": "914-941-9513 x530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "CARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.