Individual provider Active NPI

Tania Carchi, DNP, APRN, FNP-C

  • Nurse Practitioner
  • West New York, NJ
National Provider Identifier
1255976320
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00971200 Issued in NJ
Practice address
235 60TH St
West New York, NJ 07093-2805
Phone
(201) 854-4646
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 26NJ00971200 NJ Primary

Addresses

Primary practice location

235 60TH St
West New York, NJ 07093-2805

Mailing address

235 60TH St
West New York, NJ 07093-2805

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
I20200109002103 NJ Practitioner - Nurse Practitioner 3476988957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

55 Willow LN
Suite 201
Englishtown, NJ 07726-8434
Phone 7323702220120

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00971200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Feb 28, 2023 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Advanced Gastroenterology Associates, LLC PastSince Feb 28, 2023 Accepting new patients

Locations

55 Willow Ln
Ste 201
Englishtown, NJ 07726
Phone (732) 370-2220

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

235 60th St
West New York, NJ 07093
Phone (201) 854-4646

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1255976320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-854-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCHI",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00971200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.