Individual provider Active NPI

Callie Mae Covino, RN,MSN,APRN,FNP-BC

  • Family Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1952189037
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14854100 Issued in NJ
Practice address
46 Newman Springs Rd E
Red Bank, NJ 07701-1530
Phone
(732) 933-4100
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14854100 NJ Primary

Addresses

Primary practice location

46 Newman Springs Rd E
Red Bank, NJ 07701-1530

Mailing address

PO Box 4045
Middletown, NJ 07748-4045
Phone (631) 871-2140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000459 NJ Practitioner - Nurse Practitioner 0345699989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ14854100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Dec 1, 2023 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Dec 1, 2023 Accepting new patients
Golding Granado Medical Associates Past Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1952189037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4045",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484045",
            "telephone_number": "631-871-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011530",
            "telephone_number": "732-933-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINO",
        "first_name": "CALLIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14854100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.