Active NPI
Martha Carvajal, D.P.M.
- Podiatrist
- West New York, NJ
National Provider Identifier
1194864041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MB00260600
- Practice address
- 221 60TH St
West New York, NJ 07093-2805 - Phone
- (201) 758-9300
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MB00260600 | NJ | Primary |
Addresses
Primary practice location
221 60TH St
West New York, NJ 07093-2805
Mailing address
221 60TH St
West New York, NJ 07093-2805
Phone (201) 758-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8340307 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB00260600 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194864041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 60TH ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932805",
"telephone_number": "201-758-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 60TH ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932805",
"telephone_number": "201-758-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL",
"first_name": "MARTHA",
"name_prefix": "Mrs.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MB00260600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8340307",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.