Individual provider Active NPI

Caryne David, APN

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1003379637
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00891100 Issued in NJ
Practice address
418 Palmer St
Elizabeth, NJ 07202-3710
Phone
(908) 820-4250
Fax
(908) 820-4252
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 26NJ00891100 NJ Primary

Addresses

Primary practice location

418 Palmer St
Elizabeth, NJ 07202-3710

Mailing address

418 Palmer St
Elizabeth, NJ 07202-3710
Phone (908) 820-4250

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
I20200325001228 NJ Practitioner - Nurse Practitioner 4385072321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00891100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SKR Medical Advisors CurrentSince Feb 1, 2020 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Feb 1, 2020 Accepting new patients
Rita U. Goradia, M.D. P.C. PastSince Jun 18, 2018 Accepting new patients
Medical Care Associates LLC Past Accepting new patients

Locations

560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839

2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360

2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839

Interoperability endpoints

  • Direct secure messaging: caryne.david.1@30093.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1003379637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PALMER ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023710",
            "telephone_number": "908-820-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 PALMER ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023710",
            "telephone_number": "908-820-4250",
            "fax_number": "908-820-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CARYNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00891100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.