1639188014 NPI number — MS. CHERYL ANN CARTER M.D.

Table of content: MS. CHERYL ANN CARTER M.D. (NPI 1639188014)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639188014 NPI number — MS. CHERYL ANN CARTER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTER
Provider First Name:
CHERYL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639188014
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
935 GARFIELD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07304-2731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-478-5800
Provider Business Mailing Address Fax Number:
201-475-5814

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
935 GARFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07304-2731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-478-5800
Provider Business Practice Location Address Fax Number:
201-475-5814
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MA07498900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 223363012 . This is a "BEACHST CORP MEDICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "GREAT WEST HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "PAYERS COALITION OF NJ" identifier . This identifiers is of the category "OTHER".
  • Identifier: 60004673 . This is a "HORIZON NJ HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7374473 . This is a "AETNA TRADITIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0034703 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 223363012 . This is a "FAMILY CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 191225 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "CHN CONSUMER HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5367738001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "GALAXY HEALTH NETWORK INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000628000 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1576147 . This is a "AMERIHEALTH PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "HEALTH PAYORS ORG LTD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "HORIZON BCBS OF NJ" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2256030000 . This is a "AMERIHEALTH HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3334569 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "DEVON HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118898400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com