Active NPI
Elise Carman MDPC
- Obstetrics & Gynecology Physician
- Montclair, NJ
National Provider Identifier
1407095896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA64377
- Legal business name
- ELISE CARMAN MDPC
- Practice address
- 127 Pine St
Suite 5
Montclair, NJ 07042-4855 - Phone
- (973) 655-9555
- Fax
- (973) 655-9559
- NPI assigned
- Feb 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elise Stephanie Carman
- Title
- President
- Phone
- (973) 655-9555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA64377 | NJ | Primary |
Addresses
Primary practice location
127 Pine St
Suite 5
Montclair, NJ 07042-4855
Mailing address
127 Pine St
Suite 5
Montclair, NJ 07042-4855
Phone (973) 655-9555
National Provider Directory
National Provider DirectoryLocations
127 Pine St
Ste 5
Montclair, NJ 07042
Phone (973) 655-9050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1407095896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 PINE ST",
"address_2": "SUITE 5",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855",
"telephone_number": "973-655-9555",
"fax_number": "973-655-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 PINE ST",
"address_2": "SUITE 5",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855",
"telephone_number": "973-655-9555",
"fax_number": "973-655-9559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELISE CARMAN MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "CARMAN",
"authorized_official_first_name": "ELISE",
"authorized_official_middle_name": "STEPHANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-655-9555",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA64377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.