Active NPI
Lynda J. Carpenito, NP
- Nurse Practitioner
- Chatham, NJ
National Provider Identifier
1225085558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NN04564500
- Practice address
- 500 Southern Blvd
Chatham, NJ 07928 - Phone
- (610) 872-6131
- Fax
- (610) 872-5128
- NPI assigned
- May 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TRN13056 | AZ | |
| Nurse Practitioner | 363L00000X | 26NN04564500 | NJ | Primary |
Addresses
Primary practice location
500 Southern Blvd
Chatham, NJ 07928
Mailing address
400 Broadacres Drive
4TH Floor
Bloomfield, NJ 07003-3156
Phone (973) 661-8300
Other practice location 1
1640 S Black Horse Pike
Williamstown, NJ 08094-9247
Phone (973) 661-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100930772-001 | Medicaid | PA |
Other names 1
- Lynda J Moyet
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN13056 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1225085558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROADACRES DRIVE",
"address_2": "4TH FLOOR",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033156",
"telephone_number": "973-661-8300",
"fax_number": "973-661-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SOUTHERN BLVD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "610-872-6131",
"fax_number": "610-872-5128"
}
],
"practiceLocations": [
{
"address_1": "1640 S Black Horse Pike",
"address_purpose": "LOCATION",
"city": "Williamstown",
"state": "NJ",
"postal_code": "080949247",
"country_code": "US",
"telephone_number": "973-661-8300",
"fax_number": "973-661-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENITO",
"first_name": "LYNDA",
"middle_name": "J.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "TRN13056",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN04564500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100930772-001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "MOYET",
"middle_name": "J",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.