Individual provider Active NPI

Carrie Ellen Schroeder

  • Physician Assistant
  • Allendale, NJ
National Provider Identifier
1063018109
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
49 W Allendale Ave Ste 4
Allendale, NJ 07401-1755
Phone
(201) 340-6052
NPI assigned
Dec 4, 2020
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

49 W Allendale Ave Ste 4
Allendale, NJ 07401-1755

Mailing address

109 Yesler Way
Hillsdale, NJ 07642-2612
Phone (201) 362-8718

Other identifiers 1

IdentifierTypeStateIssuer
25MP00597900OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121000021 NJ Practitioner - Physician Assistant 0042624785 Reassigns benefits to 1 organization
I20220804000097 NC Practitioner - Physician Assistant 0042624785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Practice addresses (Care Compare)

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

21 -20 Broadway
Fair Lawn, NJ 07410-3017
Phone (551) 444-6010

49 W Allendale Ave
Suite 4
Allendale, NJ 07401-1755
Phone (201) 340-6052

521 Livingston St
Suite 116
Norwood, NJ 07648-1358
Phone (201) 267-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Am PM Walk in Urgent Care Clinic CurrentSince Oct 11, 2025 Accepting new patients
Am PM Primary Care Past Accepting new patients
JFK Medical Associates PA PastSince Sep 7, 2014 Accepting new patients

Locations

49 W Allendale Ave
Ste 4
Allendale, NJ 07401
Phone (201) 340-6052

19 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-0177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1063018109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 YESLER WAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422612",
            "telephone_number": "201-362-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W ALLENDALE AVE STE 4",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011755",
            "telephone_number": "201-340-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "CARRIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MP00597900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

Verify at the official NPI Registry.