Individual provider Active NPI

Carolyn McDowell, APN

  • Adult Health Nurse Practitioner
  • Marlboro, NJ
National Provider Identifier
1053830273
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00760600 Issued in NJ
Practice address
15 School Rd E Ste 2
Marlboro, NJ 07746-2061
Phone
(732) 866-9922
Fax
(732) 866-9970
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00760600 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00760600 NJ Primary

Addresses

Primary practice location

15 School Rd E Ste 2
Marlboro, NJ 07746-2061

Mailing address

10 Underhill Rd
Howell, NJ 07731-2316
Phone (908) 770-0068

Other practice location 1

1717 Main St Unit 101
Lake Como, NJ 07719-3096
Phone (732) 681-2200

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
I20171122001336 NJ Practitioner - Nurse Practitioner 4284991548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Shore Geriatrics IncGroup PAC ID 5597910133, 10 clinicians
Gulotta ChiropracticGroup PAC ID 0143350439, 2 clinicians

Practice addresses (Care Compare)

15 School Rd E
Suite 2
Marlboro, NJ 07746-2061
Phone (732) 866-9922

1717 Main St
Unit 101
Lake Como, NJ 07719-3096
Phone (732) 681-2200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulotta Chiropractic CurrentSince Jun 20, 2023 Accepting new patients
Jersey Shore Geriatrics Inc CurrentSince Nov 1, 2017 Accepting new patients
Jersey Shore Geriatrics LLC Past Accepting new patients

Locations

100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046

1717 Main St
Unit 101
Lake Como, NJ 07719
Phone (510) 301-7992

15 School Rd E
Ste 2
Marlboro, NJ 07746
Phone (732) 866-9922

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1053830273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNDERHILL RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312316",
            "telephone_number": "908-770-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E STE 2",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462061",
            "telephone_number": "732-866-9922",
            "fax_number": "732-866-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Main St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Lake Como",
            "state": "NJ",
            "postal_code": "077193096",
            "country_code": "US",
            "telephone_number": "732-681-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00760600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00760600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.