NPIMap

Individual provider Active NPI

Owen Joseph Carolan, MD

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1134310667
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08284800 Issued in NJ
Practice address
1640 Route 88
Suite 203
Brick, NJ 08724-3068
Phone
(732) 458-7777
Fax
(732) 458-6741
NPI assigned
Aug 8, 2007
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08284800 NJ Primary

Addresses

Primary practice location

1640 Route 88
Suite 203
Brick, NJ 08724-3068

Mailing address

1640 Route 88
Suite 203
Brick, NJ 08724-3068
Phone (732) 458-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000385 NJ Practitioner - Family Practice 7618067471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owen Carolan MD LLCGroup PAC ID 3870683634, 3 clinicians

Practice addresses (Care Compare)

2701 Route 70
Suite B
Manasquan, NJ 08736-2707
Phone (732) 458-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.98 of 100Reported as individual
Quality
50.65
Improvement activities
40
Cost
75.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Carolan MD LLC Family Medicine CurrentSince Aug 6, 2007 Accepting new patients

Locations

1640 Route 88 W
Ste 203
Brick, NJ 08724
Phone (732) 458-7777

2701 Route 70
Ste B
Manasquan, NJ 08736
Phone (732) 458-7777

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1134310667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243068",
            "telephone_number": "732-458-7777",
            "fax_number": "732-458-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243068",
            "telephone_number": "732-458-7777",
            "fax_number": "732-458-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAN",
        "first_name": "OWEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.