Carla V. Errickson, MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA06680700 Issued in NJ

Legal business name

CARLA V. ERRICKSON, MD

Practice address

65 Congressional Blvd
Washington, NJ 07882-1525

Phone

(908) 689-1341

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carla V Errickson, MD

Title

Dermatologist

Phone

(908) 689-1341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1285047209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CONGRESSIONAL BLVD",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821525",
            "telephone_number": "908-689-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CONGRESSIONAL BLVD",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821525",
            "telephone_number": "908-689-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA V. ERRICKSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "ERRICKSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "908-689-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA06680700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Buckner, LSW
• Sean Buel
• Kathleen Buhl, MS CSW LCADC
• Kevin Spencer Call, M.S., A.T.C.
• Lauren Marie Cannavo, D.M.D
• Richard D Carr, M.ED
• Alexandra Carter, PT, DPT
• Courtney Caruso, MS, CCC-SLP
• Shauna Nicole Casciano, RBT CERTIFICATE
• Castle Family Dentistry LLC

• Medical Specialty Clinic/Center in Washington, NJ
• Providers in Washington, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.