Organization Active NPI

Paul Carniol MD Facs PC

  • Plastic Surgery Physician
  • Summit, NJ
National Provider Identifier
1225671316
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PAUL CARNIOL MD FACS PC
Practice address
33 Overlook Rd Ste 401
Summit, NJ 07901-3564
Phone
(908) 598-1400
Fax
(908) 598-0777
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Dr. Paul Carniol, MDNPI 1578591954
Title
Doctor
Phone
(908) 598-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

33 Overlook Rd Ste 401
Summit, NJ 07901-3564

Mailing address

33 Overlook Rd Ste 401
Summit, NJ 07901-3564
Phone (908) 598-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107000220 NJ Part B Supplier - Clinic/Group Practice 6901230507 Receives reassigned benefits from 2 practitioners
Practice locations: Summit, NJ

National Provider Directory

National Provider Directory
Tax ID family
Dr Paul Carniol2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

33 Overlook Rd
Ste 401
Summit, NJ 07901
Phone (908) 273-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1225671316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 401",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013564",
            "telephone_number": "908-598-1400",
            "fax_number": "908-598-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 401",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013564",
            "telephone_number": "908-598-1400",
            "fax_number": "908-598-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL CARNIOL MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "CARNIOL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-598-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.