Camila Ravelo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00851600 Issued in NJ

Practice address

58 Ridge Rd
Little Falls, NJ 07424-2419

Phone

(973) 951-7371

Fax

(973) 860-4427

NPI assigned

Nov 6, 2013

Last updated

Feb 5, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1063841377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RIDGE RD",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074242419",
            "telephone_number": "973-951-7371",
            "fax_number": "973-860-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 RIDGE RD",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074242419",
            "telephone_number": "973-951-7371",
            "fax_number": "973-860-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELO",
        "first_name": "CAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00851600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Raisa Pytal, PSYD
• Prakash Ramani, D.C
• Joseph Meshach Gemarino Ramirez, PT, DPT
• Mary Jane T. Ramos, P.T.
• Diane Marie Raum
• Rhonda Reed, RPH
• Monila Reheman, D.M.D.
• David Harold Reidenberg, DDS
• Elizabeth Rice, OTR
• Carly Ann Richardson, MSOT

• Speech-Language Pathologist in Little Falls, NJ
• Providers in Little Falls, 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 Feb 5, 2022; 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.