Individual provider Active NPI

Janine Marie Carissimo, MA CCC-SLP

  • Speech-Language Pathologist
  • Nutley, NJ
National Provider Identifier
1962388470
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00166400 Issued in NJ
Practice address
159 Hillside Avenue
Nutley, NJ 07110-1627
Phone
(201) 709-4444
Fax
(973) 235-1304
NPI assigned
Aug 12, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 41YS00166400 NJ Primary

Addresses

Primary practice location

159 Hillside Avenue
Nutley, NJ 07110-1627

Mailing address

159 Hillside Avenue
Nutley, NJ 07110-1627
Phone (201) 709-4444

Other names 1

  • Ms. Janine Marie McGovern-Lawler Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS00166400NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1962388470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HILLSIDE AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101627",
            "telephone_number": "201-709-4444",
            "fax_number": "973-235-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HILLSIDE AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101627",
            "telephone_number": "201-709-4444",
            "fax_number": "973-235-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARISSIMO",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00166400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "MCGOVERN-LAWLER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.