Active NPI
Naimah Calloway, M.A., CCC-SLP
- Speech-Language Pathologist
- Irvington, NJ
National Provider Identifier
1912029216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00539400
- Practice address
- 20 Wills PL
Irvington, NJ 07111-2121 - Phone
- (973) 704-9589
- NPI assigned
- Apr 6, 2007
- Last updated
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00539400 | NJ | Primary |
Addresses
Primary practice location
20 Wills PL
Irvington, NJ 07111-2121
Mailing address
20 Wills PL
Irvington, NJ 07111-2121
Phone (973) 416-3524
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Access Community and Residential Services | Current | Accepting new patients | |
| Calloway Speech Language Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2115 Millburn Ave
Ste 100
Maplewood, NJ 07040
Phone (973) 704-9589
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Maplewood, NJ
- NPI 1932806254
-
- Speech-Language Pathologist
- Maplewood, NJ
- NPI 1922473511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1912029216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WILLS PL",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112121",
"telephone_number": "973-416-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILLS PL",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112121",
"telephone_number": "973-704-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLOWAY",
"first_name": "NAIMAH",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00539400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.