Individual provider Active NPI

Vincent Davidson Carrington, DENTIST DDS

  • Dentist
  • Newark, NJ
National Provider Identifier
1316130164
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D101854200 Issued in NJ
Practice address
110 William St
Newark, NJ 07102-1304
Phone
(718) 963-9500
Fax
(718) 963-9553
NPI assigned
Aug 24, 2007
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D101854200 NJ Primary

Addresses

Primary practice location

110 William St
Newark, NJ 07102-1304

Mailing address

1 Amherst CT Unit 3
Freehold, NJ 07728-3905
Phone (718) 963-9500

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000112 NJ Practitioner - Dentist 9830471499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D101854200NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Newark CurrentSince Nov 1, 2021 Accepting new patients
City of Newark CurrentSince Nov 1, 2021 Accepting new patients
City of Newark Past Accepting new patients

Locations

110 William St
Newark, NJ 07102
Phone (973) 424-4271

Interoperability endpoints

  • Direct secure messaging: vincent.carrington.p1@direct.memhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1316130164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMHERST CT UNIT 3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283905",
            "telephone_number": "718-963-9500",
            "fax_number": "718-963-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "718-963-9500",
            "fax_number": "718-963-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "VINCENT",
        "middle_name": "DAVIDSON",
        "name_prefix": "Dr.",
        "credential": "DENTIST DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101854200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.