Amanda Caroccio
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ocean View, NJ
NPI 1407229339 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1407229339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ01118500 (NJ)
- Practice address
- 8 Peach Orchard Rd
Ocean View, NJ 08230-1107 - Phone
- (609) 425-4657
- NPI assigned
- Oct 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Family Guidance PC
Practice addresses (Care Compare)
220 Sunset Rd
Suite 1B
Willingboro, NJ 08046-1126
Phone (856) 983-3900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210512000753 | NJ | Practitioner - Nurse Practitioner | 7911316518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01118500 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
175 Madison Ave
Fl 6
Mount Holly, NJ 08060
220 Sunset Rd
Ste 1B
Willingboro, NJ 08046
Phone (609) 835-5204
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- amanda.caroccioapn.p1@direct.cfg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 26NR16072800 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01118500 | NJ | Yes |
Addresses
Primary practice location
8 Peach Orchard Rd
Ocean View, NJ 08230-1107
Mailing address
8 Peach Orchard Rd
Ocean View, NJ 08230-1107
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | credentialing@cfgpc.com |
Other providers in Ocean View, NJ
- Kaila Boyer
- Cape Atlantic Internal Medicine, PC
- Cape May Funding LLC
- Cape May Funding LLC
- Francis S Carlin
- Antonia Castagna
- Jenny Lynn Cook
- Ronald B Costigan
- Beth Deforest
- Jane Diep
All providers in Ocean View, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.