Jeanine M Calhoun

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA107355 Issued in NJ

Practice address

186 Williamsburg LN
Lakewood, NJ 08701-1475

Phone

(732) 806-5799

Fax

(732) 487-3670

NPI assigned

Jan 15, 2021

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

Other identifiers 1

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1427647171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011008",
            "telephone_number": "732-806-5799",
            "fax_number": "732-487-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 WILLIAMSBURG LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011475",
            "telephone_number": "732-806-5799",
            "fax_number": "732-487-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "JEANINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NJ",
            "license": "NA107355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH DOH",
            "identifier": "NA107355",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristina Camaroto, BCBA
• Camino Medical Equipment, Inc.
• Robert F. Cannis, DMD
• Kathryn Jeanne Cannone, OTR/L

• Nurse's Aide in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Nurse's Aide in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.