Mary Daisy Cantey MD Carolina Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07425300 Issued in NJ

Legal business name

MARY DAISY CANTEY MD CAROLINA MEDICAL ASSOCIATES LLC

Practice address

312 S Orange Ave
South Orange, NJ 07079-2502

Phone

(973) 532-7898

Fax

(973) 821-5999

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Daisy Cantey, MDNPI 1851422687

Title

Owner

Phone

(973) 532-7898

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Mary Daisy Cantey, M.D.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1851422687
  Medicare reassignment NPD Authorized official
• Kareen Marcia Delgado, APNC

  • Adult Health Nurse Practitioner
  • South Orange, NJ
  • NPI 1770968018
  NPD (past)
• Judy Marcel Thomas, NP-C

  • Family Nurse Practitioner
  • South Orange, NJ
  • NPI 1679958987
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1366827313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792502",
            "telephone_number": "973-532-7898",
            "fax_number": "973-821-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792502",
            "telephone_number": "973-532-7898",
            "fax_number": "973-821-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DAISY CANTEY MD CAROLINA MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "CANTEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-532-7898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07425300",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07425300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8941106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Danielle Maniches, MA CCC-SLP
• Carol E Mann, D.M.D.
• Tamika M Marshall
• Glenn Martin
• Carin Martucci, LCSW
• Mas Home Health Care
• Robert Massa, DMD
• Shirley Matthews, PHD
• Carly Bischoff Mayer, PH.D.
• Mbac Office Solutions

• Internal Medicine Physician in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.