Individual provider Active NPI

Patricia A. Carneval, MD

  • Psychiatry Physician
  • Princeton, NJ
National Provider Identifier
1174643829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA064568 Issued in NJ
Practice address
170 Cold Soil Rd
Princeton, NJ 08540-4202
Phone
(609) 896-1122
Fax
(609) 896-2688
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA064568 NJ Primary

Addresses

Primary practice location

170 Cold Soil Rd
Princeton, NJ 08540-4202

Mailing address

170 Cold Soil Rd
Princeton, NJ 08540-4202
Phone (609) 896-1122

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 1, 2009 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064568NJMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174643829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COLD SOIL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404202",
            "telephone_number": "609-896-1122",
            "fax_number": "609-896-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COLD SOIL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404202",
            "telephone_number": "609-896-1122",
            "fax_number": "609-896-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVAL",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA064568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.