Carla A Marino, M.A. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00396900 Issued in NJ

Practice address

28 Gates Ave
West Caldwell, NJ 07006-7973

Phone

(201) 240-1988

NPI assigned

Oct 4, 2023

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1710767876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GATES AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067973",
            "telephone_number": "201-240-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GATES AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067973",
            "telephone_number": "201-240-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "CARLA",
        "middle_name": "A",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00396900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Malanga
• Glenn Jay Malat, O.D.
• Karen V Malinowski, PT, DPT, MS
• Victoria R Mapura, LAC
• Scott Thomas Maran, SCOTT MARAN
• Donna Martin Martin Capozzi, MSW, LCSW
• Masella Family Dental, PC
• Michael James Masella, D.M.D.
• Thomas Masella, DMD
• Mass Transportation Services LLC

• Speech-Language Pathologist in West Caldwell, NJ
• Providers in West Caldwell, 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 Oct 4, 2023; 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.