Individual provider Active NPI

Carla Ann Paredes, CRNP

  • Nurse Practitioner
  • Flanders, NJ
National Provider Identifier
1174078976
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016026 Issued in PA
Practice address
230 US Highway 206
Building 3, Suite #4
Flanders, NJ 07836-9287
Phone
(155) 852-1442
Fax
(888) 201-9536
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00881400 NJ
Nurse Practitioner 363L00000X SP016026 PA Primary

Addresses

Primary practice location

230 US Highway 206
Building 3, Suite #4
Flanders, NJ 07836-9287

Mailing address

228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone (866) 306-2026

Other practice location 1

161 Cecil B Moore
Suite 204
Philadelphia, PA 19122
Phone (215) 585-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180502001129 PA Practitioner - Nurse Practitioner 1052699212 Reassigns benefits to 2 organizations
I20200422002421 NJ Practitioner - Nurse Practitioner 1052699212 Reassigns benefits to 1 organization
I20251230003851 DE Practitioner - Nurse Practitioner 1052699212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Ophelia Medical Group NJ PCGroup PAC ID 0547657397, 14 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

222 Delaware St
Suite 213
Historic New Castle, DE 19720-4855
Phone (215) 585-2144

230 US Hwy 206
Suite 4
Flanders, NJ 07836-9287
Phone (215) 585-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6672CTMDOccupational Therapist
26NJ00881400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Oct 5, 2021 Accepting new patients
Ophelia Medical Group NJ PC CurrentSince Feb 16, 2022 Accepting new patients
Ophelia Medical Group, P.C. CurrentSince Oct 5, 2021 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jan 6, 2018 Accepting new patients

Locations

230 US Highway 206
Ste 4
Flanders, NJ 07836

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

Organizations & group practices 5

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1174078976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "866-306-2026",
            "fax_number": "215-586-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 US HIGHWAY 206",
            "address_2": "BUILDING 3, SUITE #4",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369287",
            "telephone_number": "155-852-1442",
            "fax_number": "888-201-9536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Cecil B Moore",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19122",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00881400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

Verify at the official NPI Registry.