Individual provider Active NPI

Rachel Lauren Callino, M.S., CCC-SLP, QOM

  • Speech-Language Pathologist
  • Weehawken, NJ
National Provider Identifier
1245787357
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
900 Ave at Port Imperial Blvd Apt 1034
Weehawken, NJ 07086-6113
Phone
(781) 413-1753
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 Primary

Addresses

Primary practice location

900 Ave at Port Imperial Blvd Apt 1034
Weehawken, NJ 07086-6113

Mailing address

900 Ave at Port Imperial Blvd Apt 1034
Weehawken, NJ 07086-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1245787357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AVE AT PORT IMPERIAL BLVD APT 1034",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AVE AT PORT IMPERIAL BLVD APT 1034",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866113",
            "telephone_number": "781-413-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLINO",
        "first_name": "RACHEL",
        "middle_name": "LAUREN",
        "credential": "M.S., CCC-SLP, QOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.