Ciro J Carafa, MD
Individual provider Active NPI Internal Medicine Physician · Lodi, NJ
NPI 1154485449 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1154485449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA04037700 (NJ)
- Practice address
- 120 S Main St
Lodi, NJ 07644-2204 - Phone
- (973) 473-7870
- Fax
- (973) 472-1455
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000047 | NJ | Practitioner - Internal Medicine |
1456475912 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA40377 | NJ | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current |
Accepting new patients |
| Meridian Medical Group - Specialty Care, PC | Internal Medicine | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
4 Hunter St
Ste 206
Lodi, NJ 07644
Phone (973) 473-3896
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
Interoperability endpoints
- ciro.carafa@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MA40377 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA04037700 | NJ | Yes |
Addresses
Primary practice location
120 S Main St
Lodi, NJ 07644-2204
Mailing address
4 Hunter St Ste 206
Lodi, NJ 07644-1608
Phone (973) 473-3896
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1254201 | Medicaid | NJ |
Other providers in Lodi, NJ
- Christian Omar Cabrera
- Anthony J Campanella
- Maribel Cano
- Maricela Cantuna
- Andrew Cao
- Careccia Physical Therapy LLC
- Kimberley Anne Careccia
- Charles Kaplan
- Lwoodsky Charles
- Jennifer Cheng
All providers in Lodi, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.