Active NPI
Carmela Seymour, M.D.
- Obstetrics & Gynecology Physician
- Englewood, NJ
National Provider Identifier
1164543120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA059188
- Practice address
- 420 Grand Ave
Englewood, NJ 07631-4152 - Phone
- (201) 871-4040
- Fax
- (201) 871-7326
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA059188 | NJ | Primary |
Addresses
Primary practice location
420 Grand Ave
Englewood, NJ 07631-4152
Mailing address
420 Grand Ave
Englewood, NJ 07631-4152
Phone (201) 871-4040
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP381 | Other | NJ | OXFORD |
| 1543106 | Other | NJ | UNITED HEALTHCARE |
| 420502 | Other | NJ | CIGNA |
| J29013 | Other | NJ | HEALTHNET |
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
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059188 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164543120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314152",
"telephone_number": "201-871-4040",
"fax_number": "201-871-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314152",
"telephone_number": "201-871-4040",
"fax_number": "201-871-7326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMOUR",
"first_name": "CARMELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA059188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BP381",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1543106",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "420502",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "J29013",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.