Carlson Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CARLSON MEDICAL LLC

Practice address

385 S Maple Ave Ste 101
Glen Rock, NJ 07452-1545

Phone

(201) 345-1855

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Sandra Carlson, MD

Title

Owner

Phone

(201) 345-1855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1346787256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 101",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521545",
            "telephone_number": "201-345-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 101",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521545",
            "telephone_number": "201-345-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-345-1855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Burnett, PT
• Daniel Callahan, LAC
• Calmer Days, LLC
• Patrice Marie Cappello
• Caitlin Carbone, DPT
• Sandra Regina Carlson, M.D
• Briana Dale Caro, LPC
• Center for Wellness & Rehabilitation
• Dana Cernea, MD
• Christina Chatlos, PSY.D.

• Primary Care Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.