Carlo Opont, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00194200 Issued in NJ

Practice address

695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592

Phone

(973) 826-8080

Fax

(866) 309-3354

NPI assigned

Apr 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1023281664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4059",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744059",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "SUITE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041592",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPONT",
        "first_name": "CARLO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "012311",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00194200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERT",
            "identifier": "1075829",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutrition Transition LLC
• Megan O'Brien
• Jeffrey N Obiekwe
• Bassam N Odatalla, M.D.
• Nada Omran, PA-C
• Chiamaka Chikwere Orjiekwe, PHARM D
• Daniel Paolino
• Jennifer Mary Paonessa, OTR/L
• Nari Park, PHARMD
• Ami Patel

• Surgical Physician Assistant in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.