Carmen C. Canlas MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA02856100 Issued in NJ

Legal business name

CARMEN C. CANLAS MD

Practice address

5B Doctor'S Park
Hackettstown, NJ 07840

Phone

(908) 852-8096

Fax

(908) 852-5012

NPI assigned

Feb 23, 2007

Organization subpart

No

Name

Mrs. Terri Carpenter

Title

Office Manager

Phone

(908) 852-8096

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen C Canlas, MD

  • Pediatric Adolescent Medicine Physician
  • Hackettstown, NJ
  • NPI 1437150711
  NPD (past) ADOLESCENT MEDICINE

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346375714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5B DOCTOR'S PARK",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-8096",
            "fax_number": "908-852-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5B DOCTOR'S PARK",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-8096",
            "fax_number": "908-852-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN C. CANLAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-852-8096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA02856100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6190006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI NUMBER",
            "identifier": "1437150711",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiac Care Associates PC
• Carebot ABA LLC
• Carebot Services LLC
• Caring Counseling Services LLC
• William Carle, MD
• Karen Carrigan, CNM
• Samantha Carter, LPC
• Patrick Caruso, MD
• Theresa A Cassano, DMD
• Tammy Marie Castles, FNP-BC

• All providers in Hackettstown, NJ
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.