Deborah J Carroll, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

171520 Issued in NY

Practice address

2 Executive Blvd Ste 102
Suffern, NY 10901-8217

Phone

(845) 369-7096

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Poplar Healthcare, PLLC

  • Specialist
  • Memphis, TN
  • NPI 1346271251
  NPD
• CDX Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Suffern, NY
  • NPI 1427273598
  NPD (past)
• CDX Laboratories, Inc.

  • Clinical Medical Laboratory
  • Suffern, NY
  • NPI 1093890584
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295814838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 ROUTE 9W S",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-398-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD STE 102",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109018217",
            "telephone_number": "845-369-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA07667400",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "171520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Carbone, DC
• Nicole Caridi, RN
• Caring Family Home Care Inc
• Rita Carpentieri
• Sandra Carrasquillo, REGISTERED NURSE
• Donna L Carroll, RN
• Lynnea Carstens-Elliot, CNM,NP
• Bertha Casseus, RN
• Aurera Castaner Collazo, RN
• Brenda Castellanos, LPN

• Anatomic Pathology & Clinical Pathology Physician in Suffern, NY
• Providers in Suffern, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.