Individual provider Active NPI

Roberta A Carpenter, NP-C

  • Family Nurse Practitioner
  • Neptune City, NJ
National Provider Identifier
1396204749
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00902000 Issued in NJ
Practice address
2240 State Route 33 Ste 114
Neptune City, NJ 07753-6121
Phone
(732) 455-3030
NPI assigned
Mar 15, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 26NJ00902000 NJ Primary

Addresses

Primary practice location

2240 State Route 33 Ste 114
Neptune City, NJ 07753-6121

Mailing address

2240 State Route 33 Ste 114
Neptune City, NJ 07753-6121
Phone (732) 455-3030

Other practice location 1

1000 Rte 35 Ste 102
Middletown, NJ 07748-2609
Phone (732) 361-6855

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
I20190702003396 NJ Practitioner - Nurse Practitioner 9234463761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First MDGroup PAC ID 3779939244, 5 clinicians
SD MiddletownGroup PAC ID 6103187695, 5 clinicians
Sleep DynamicsGroup PAC ID 6507164175, 6 clinicians

Practice addresses (Care Compare)

1000 Rte
35 Suite 101
Middletown, NJ 07748-2609
Phone (732) 629-9699

2240 State Route 33
Suite 114
Neptune, NJ 07753-6121
Phone (732) 455-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00902000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Dynamics CurrentSince Jul 1, 2019 Accepting new patients
Patient First MD CurrentSince Jun 5, 2025 Accepting new patients

Locations

1000 State Route 35
Ste 101
Middletown, NJ 07748
Phone (732) 629-9699

2240 State Route 33
Ste 114
Neptune City, NJ 07753
Phone (732) 455-3030

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.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1396204749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 STATE ROUTE 33 STE 114",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536121",
            "telephone_number": "732-455-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 STATE ROUTE 33 STE 114",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536121",
            "telephone_number": "732-455-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Rte 35 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482609",
            "country_code": "US",
            "telephone_number": "732-361-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ROBERTA",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00902000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

Verify at the official NPI Registry.