Individual provider Active NPI

Kenneth William Cartaxo, MD

  • Family Medicine Physician
  • Morristown, NJ
National Provider Identifier
1083700702
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA043161 Issued in NJ
Practice address
435 South St Suite 160
Morristown, NJ 07960
Phone
(973) 971-4686
Fax
(973) 290-7085
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X MA043161 NJ
Family Medicine Physician 207Q00000X MA043161 NJ Primary

Addresses

Primary practice location

435 South St Suite 160
Morristown, NJ 07960

Mailing address

435 South St Suite 160
Morristown, NJ 07960
Phone (973) 971-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 12, 2014 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA043161NJMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton Emergency Physicians LLC Past Accepting new patients
Hogarth Emergency Physicians Past Accepting new patients
First Choice Recovery Center PC PastSince Jun 27, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1083700702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST SUITE 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4686",
            "fax_number": "973-290-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST SUITE 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4686",
            "fax_number": "973-290-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAXO",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NJ",
            "license": "MA043161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA043161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.