Individual provider Active NPI

Carla Jardim, MD

  • Family Medicine Physician
  • Milford, NJ
National Provider Identifier
1184698169
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06093900 Issued in NJ
Practice address
200 Frenchtown Rd
Milford, NJ 08848-1329
Phone
(908) 995-2251
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06093900 NJ Primary

Addresses

Primary practice location

200 Frenchtown Rd
Milford, NJ 08848-1329

Mailing address

200 Frenchtown Rd
Milford, NJ 08848-1329

Other identifiers 1

IdentifierTypeStateIssuer
7859406MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carla.jardim.p18@direct.hunterdon.nextgenshare.com Direct

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
I20101005000508 NJ Practitioner - Family Practice 7214129592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Medical CenterGroup PAC ID 9830009711, shared by 11 NPIs, 72 clinicians

Practice addresses (Care Compare)

200 Frenchtown Rd
Milford, NJ 08848-1329
Phone (908) 995-2251

2100 Wescott Dr
Flemington, NJ 08822-4603

Hospital & facility affiliations

  • Hunterdon Medical Center Home Health Home health agency, Flemington, NJ, CCN 317043
  • Hunterdon Hospice Inc Hospice, Flemington, NJ, CCN 311524
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center Family Medicine CurrentSince Aug 5, 2012 Accepting new patients
Hunterdon Medical Center Family Medicine CurrentSince Jul 26, 1994 Accepting new patients
Hunterdon Medical Center CurrentSince Jul 26, 1994 Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Hunterdon Medical Center Past Accepting new patients

Locations

215 State Route 31
#116
Flemington, NJ 08822

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

72 Alexander Ave
Lambertville, NJ 08530
Phone (609) 397-3535

200 Frenchtown Rd
Milford, NJ 08848
Phone (908) 995-2251

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methany Medical and Educational CenterPeapack, NJ, CCN 312014 Hospital Other Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1184698169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FRENCHTOWN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRENCHTOWN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481329",
            "telephone_number": "908-995-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIM",
        "first_name": "CARLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06093900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7859406",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carla.jardim.p18@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Frenchtown Rd",
            "city": "Milford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088481329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, NJ

Sources for this page

Verify at the official NPI Registry.