Individual provider Active NPI

Cynthia Maria Carralero, AGNP-C

  • Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1225873185
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14989800 Issued in NJ
Practice address
57 NJ-23
Wayne, NJ 07470
Phone
(973) 313-8181
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14989800 NJ Primary

Addresses

Primary practice location

57 NJ-23
Wayne, NJ 07470

Mailing address

1415 91St St
North Bergen, NJ 07047-4422
Phone (201) 981-2671

Other practice location 1

887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307
Phone (201) 464-0860

Other practice location 2

31-00 Broadway
Fair Lawn, NJ 07410-3963
Phone (001) 791-7771

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918003016 NJ Practitioner - Nurse Practitioner 7315488277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

420 Grand Ave
Suite 101
Englewood, NJ 07631-4141
Phone (201) 569-7044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ14989800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

140 Sylvan Ave
Ste 101A
Englewood Cliffs, NJ 07632
Phone (201) 945-6564

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1225873185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 91ST ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474422",
            "telephone_number": "201-981-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NJ-23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-313-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "887 Kinderkamack Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "River Edge",
            "state": "NJ",
            "postal_code": "076612307",
            "country_code": "US",
            "telephone_number": "201-464-0860",
            "fax_number": "888-440-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31-00 Broadway",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103963",
            "country_code": "US",
            "telephone_number": "001-791-7771",
            "fax_number": "201-350-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRALERO",
        "first_name": "CYNTHIA",
        "middle_name": "MARIA",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14989800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.