Tania Vicente Carballo, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01016300 Issued in NJ

Practice address

178 Chestnut St
Kearny, NJ 07032-2420

Phone

(551) 580-4750

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

No

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, last updated by the provider on May 17, 2022.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1457098733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CHESTNUT ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 CHESTNUT ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322420",
            "telephone_number": "551-580-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE CARBALLO",
        "first_name": "TANIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01016300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V.E. Ralph & Son, Inc.
• Klidy Valderrama
• Doris M Vallejo, LAC, LCADC
• Rajarajeswari Velusamy
• Patrick Alexandro Vera, LSW
• Kaylan Vicente, LMFT
• Carlos Andres Villafuerte, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• All providers in Kearny, NJ
• Occupational Therapist in New Jersey

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