Active NPI
Carolyn D Perry, NP
- Registered Nurse
- Lyons, NJ
National Provider Identifier
1184730939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN273609L
- Practice address
- 151 Knollcroft Rd
Building 57
Lyons, NJ 07939-5001 - Phone
- (908) 647-0180
- Fax
- (908) 604-5850
- NPI assigned
- Aug 22, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR07009500 | NJ | |
| Registered Nurse | 163W00000X | RN273609L | PA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NN07009500 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | SP003043H | PA |
Addresses
Primary practice location
151 Knollcroft Rd
Building 57
Lyons, NJ 07939-5001
Mailing address
151 Knollcroft Rd
Building 57
Lyons, NJ 07939-5001
Phone (908) 647-0180
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110524000520 | NJ | Order and Referring Only - Nurse Practitioner | 6406032689 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07009500 | NJ | MD | Registered Nurse |
| RN273609L | PA | MD | Registered Nurse |
| SP003043H | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V.a.N.J.Healthcare System | Past | Accepting new patients | |
| Dept. Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184730939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 KNOLLCROFT RD",
"address_2": "BUILDING 57",
"city": "LYONS",
"state": "NJ",
"postal_code": "079395001",
"telephone_number": "908-647-0180",
"fax_number": "908-604-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 KNOLLCROFT RD",
"address_2": "BUILDING 57",
"city": "LYONS",
"state": "NJ",
"postal_code": "079395001",
"telephone_number": "908-647-0180",
"fax_number": "908-604-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CAROLYN",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR07009500",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN273609L",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN07009500",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP003043H",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyons, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.