Individual provider Active NPI

Caitlyn Virginia Orrok, MS, CCC-SLP

  • Speech-Language Pathologist
  • West Long Branch, NJ
National Provider Identifier
1649633066
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00831200 Issued in NJ
Practice address
44 Delaware Ave
West Long Branch, NJ 07764-1744
Phone
(908) 839-9801
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 41YS00831200 NJ Primary

Addresses

Primary practice location

44 Delaware Ave
West Long Branch, NJ 07764-1744

Mailing address

44 Delaware Ave
West Long Branch, NJ 07764-1744
Phone (908) 839-9801

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

State licenses

LicenseStateTypeSpecialty
41YS00831200NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1649633066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DELAWARE AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641744",
            "telephone_number": "908-839-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DELAWARE AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641744",
            "telephone_number": "908-839-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORROK",
        "first_name": "CAITLYN",
        "middle_name": "VIRGINIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00831200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.