Individual provider Active NPI

Emma L Carsillo, CRNP

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1376289942
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01301000 Issued in NJ
Practice address
445 Hurffville Crosskeys Rd Ste B16
Sewell, NJ 08080-2351
Phone
(856) 256-7591
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01301000 NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd Ste B16
Sewell, NJ 08080-2351

Mailing address

220 Dubois Ave
West Deptford, NJ 08096-5006
Phone (856) 656-6346

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629001269 NJ Practitioner - Nurse Practitioner 5991185522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

445 Hurffville Crosskeys Rd
Suite B16
Sewell, NJ 08080-2351
Phone (856) 256-7591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Mar 19, 2022 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Family CurrentSince Mar 19, 2022 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

445 Hurffville Crosskeys Rd
Ste B16
Sewell, NJ 08080
Phone (856) 256-7591

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1376289942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DUBOIS AVE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080965006",
            "telephone_number": "856-656-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD STE B16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802351",
            "telephone_number": "856-256-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSILLO",
        "first_name": "EMMA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01301000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.