Isabel Detrizio Carotenuto, M.D.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

MAO45465 Issued in NJ

Practice address

24 Heritage Dr
East Hanover, NJ 07936-3930

Phone

(973) 884-3155

Fax

(973) 884-3523

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1376622159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HERITAGE DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363930",
            "telephone_number": "973-884-3155",
            "fax_number": "973-884-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HERITAGE DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363930",
            "telephone_number": "973-884-3155",
            "fax_number": "973-884-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRIZIO CAROTENUTO",
        "first_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MAO45465",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NJ",
            "license": "MAO45465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156 6202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David F Romano DMD PA
• Don Carl Defilippis, DMD
• David A Defranco, BCBA
• Bice Delgaldo
• Dental Care East Hanover LLC
• Mark Anthony Diehl, PA-C
• Michael D Difazio, DC
• Muhammadali Iqbal Dinani, DMD
• Lauren S Ditaranto, LPC
• Jane Vanacore Dixon, RDN, CDCES

• Pediatric Neurodevelopmental Disabilities Physician in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Pediatric Neurodevelopmental Disabilities Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.