Carlos G Penaloza Aranibar, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA45030 Issued in NJ

Practice address

227 Philadelphia Ave
Egg Harbor City, NJ 08215-1330

Phone

(609) 965-8063

Fax

(609) 965-7771

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Specialty Medconsultants LLC

  • Nephrology Physician
  • Ventnor City, NJ
  • NPI 1831520931
  Medicare reassignment Care Compare group NPD
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608

  Surgery

  Medicare reassignment NPD
• Atlanticare Physician Group

  dba AtlantiCare Urgent Care

  • Clinical Social Worker
  • Egg Harbor Township, NJ
  • NPI 1881618494
  NPD
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1063525319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 PHILADELPHIA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151330",
            "telephone_number": "609-965-8063",
            "fax_number": "609-965-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 PHILADELPHIA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151330",
            "telephone_number": "609-965-8063",
            "fax_number": "609-965-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOZA ARANIBAR",
        "first_name": "CARLOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA45030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3998207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Negron, EDUCATOR
• Gregory R Novotny, DO
• Oaks Integrated Care
• John Pabst, PTA
• Pantano & Rossi Chiropractic Center II, PA (Egg Harbor Chiropractic Center)
• Premiere Wellness Care (IV Nutrition)
• Primo Healthcare Services, LLC.
• Proactive Health & Wellness (TelewellnessND)
• Proactive Health & Wellness
• Progressive Living Units Systems, Inc

• Surgery Physician in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.