Individual provider Active NPI

Carney Thomas Desarno, M.D.

  • Surgery Physician
  • Neptune, NJ
National Provider Identifier
1144296187
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA064976 Issued in NJ
Practice address
1820 Corlies Ave
Neptune, NJ 07753-4860
Phone
(732) 775-5005
Fax
(732) 775-0064
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA064976 NJ Primary

Addresses

Primary practice location

1820 Corlies Ave
Neptune, NJ 07753-4860

Mailing address

35 High Ridge Rd
Ocean, NJ 07712-3460
Phone (732) 695-1617

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
I20050916000506 NJ Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 7113950411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064976NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carney T. Desarno, MD, LLC Surgery CurrentSince May 1, 2009 Accepting new patients
Steven C. Tizio MD Surgery CurrentSince Jan 1, 2023 Accepting new patients
Imperial Billing LLC PastSince Sep 25, 2019 Accepting new patients

Locations

1706 Corlies Ave
Ste 5
Neptune, NJ 07753
Phone (732) 450-1500

Interoperability endpoints

  • Direct secure messaging: carneydesarno@jsasa.allscriptsdirect.net

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144296187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HIGH RIDGE RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123460",
            "telephone_number": "732-695-1617",
            "fax_number": "732-493-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-775-5005",
            "fax_number": "732-775-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESARNO",
        "first_name": "CARNEY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA064976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.