Individual provider Active NPI

Carla Dicenzo-Flynn, M.D.

  • Internal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1114942075
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA070526 Issued in NJ
Practice address
4 Perry St
Morristown, NJ 07960-9447
Phone
(973) 540-1000
Fax
(973) 540-0001
NPI assigned
Jul 13, 2006
Last updated
Aug 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA070526 NJ Primary

Addresses

Primary practice location

4 Perry St
Morristown, NJ 07960-9447

Mailing address

4 Perry St
Morristown, NJ 07960-9447
Phone (973) 540-1000

Other identifiers 1

IdentifierTypeStateIssuer
MA070526OtherNJSTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000923 NJ Practitioner - Internal Medicine 3870565286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Nutrition Associates PAGroup PAC ID 8820060247, 2 clinicians

Practice addresses (Care Compare)

4 Perry St
Morristown, NJ 07960-9447
Phone (973) 540-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA070526NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Nutrition Associates PA Internal Medicine CurrentSince Nov 1, 2003 Accepting new patients
Storch Nutritional Medicine Associates,PA Internal Medicine PastSince Jul 30, 2015 Accepting new patients
Metabolic Care Associates P.a. PastSince Apr 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carla.flynn.1@25697.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25697/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1114942075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PERRY ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609447",
            "telephone_number": "973-540-1000",
            "fax_number": "973-540-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PERRY ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609447",
            "telephone_number": "973-540-1000",
            "fax_number": "973-540-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICENZO-FLYNN",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA070526",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.