Individual provider Active NPI

Carol Veronie Dixon

  • Family Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1265010607
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01104600 Issued in PR
Practice address
47 Wilson Ter
Livingston, NJ 07039-2969
Phone
(973) 670-7975
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01104600 PR Primary

Addresses

Primary practice location

47 Wilson Ter
Livingston, NJ 07039-2969

Mailing address

47 Wilson Ter
Livingston, NJ 07039-2969
Phone (973) 670-6573

Other practice location 1

47 Wilson Ter
Livingston, NJ 07039-2969
Phone (973) 670-6573

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
I20230213000276 NJ Practitioner - Nurse Practitioner 1850763228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citywide Urgent Care NJ LLCGroup PAC ID 0042628018, 7 clinicians

Practice addresses (Care Compare)

322 Glenwood Ave
Suite 5
Bloomfield, NJ 07003-2413
Phone (332) 225-9814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01104600PRMDFamily Nurse Practitioner

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1265010607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WILSON TER",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392969",
            "telephone_number": "973-670-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WILSON TER",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392969",
            "telephone_number": "973-670-7975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Wilson Ter",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070392969",
            "country_code": "US",
            "telephone_number": "973-670-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CAROL",
        "middle_name": "VERONIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "26NJ01104600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.