Carol Vasold, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012103 Issued in PA

Practice address

111 W Water St
Toms River, NJ 08753-6407

Phone

(732) 244-4700

Fax

(732) 244-8482

NPI assigned

Sep 16, 2010

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Ms. Carol Banach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Rami E Geffner MD PA

  dba Accredited Dermatology

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1326098559
  NPD (past)
• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)
• Omni Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Darby, PA
  • NPI 1831236637
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1316255979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4979",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544979",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536407",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASOLD",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012103",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00376100",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN575054",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13660700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BANACH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cecilia Vaquero
• Kahra Varall, PT, DPT
• Robin Varghese, DPM
• Joseph Vari
• Vikram M Varma, MD, FACEP
• Ashlee Vaughan
• Rupal Vayas
• Alexandria Vazquez, NP
• Franklyn Abdiel Vega Batista, MD
• Tony Vega, LCSW, MSW

• Family Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.