Active NPI
Cynthia Maria Carralero, AGNP-C
- Nurse Practitioner
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ14989800
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14989800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Current | 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.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.