Organization Active NPI

Elise Carman MDPC

  • Obstetrics & Gynecology Physician
  • Montclair, NJ
National Provider Identifier
1407095896
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA64377 Issued in NJ
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

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Elise Stephanie CarmanNPI 1770552325
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.