Miguel Angel Carreno, M.D
Individual provider Active NPI Internal Medicine Physician · Morris Plains, NJ
NPI 1295023489 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1295023489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA09119900 (NJ)
- Practice address
- 340 Speedwell Ave
Morris Plains, NJ 07950-2124 - Phone
- (973) 267-9899
- Fax
- (973) 401-1201
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Cardiology LLC
Practice addresses (Care Compare)
340 Speedwell Ave
Morris Plains, NJ 07950-2124
Phone (973) 267-9899
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Morristown Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120828000103 | NJ | Practitioner - Internal Medicine | 9335396373 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Current |
Accepting new patients |
| Advanced Perioperative Medicine, P.a. | Current |
Accepting new patients | |
| Advanced Cardiology, LLC | Internal Medicine | Current |
Accepting new patients |
Locations
65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302
104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800
340 Speedwell Ave
Morris Plains, NJ 07950
Phone (973) 267-9899
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
225 State Route 10 E
Ste 203
Succasunna, NJ 07876
Phone (973) 584-5221
225 State Route 10 E
Succasunna, NJ 07876
Phone (845) 248-9398
525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09119900 | NJ | Yes |
Addresses
Primary practice location
340 Speedwell Ave
Morris Plains, NJ 07950-2124
Mailing address
65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone (973) 401-1100
Other practice location 1
65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone (973) 401-1100 ext. 1005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300659 | Medicaid | NJ |
Other providers in Morris Plains, NJ
- Marie A.Y. Cadet
- Camisa Physical Therapy & Sports Rehab LLC
- Joseph J Camisa
- Alexandra Campanaro
- Care Plus NJ, Inc
- Laura Caruso
- Erin Castro
- Zoila Yolanda Castro
- Dominick D Cataudella
- Victoria F. Cayetano
All providers in Morris Plains, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.