Active NPI
Carmen M Garmendia
- Internal Medicine Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26NJ01334300
- Practice address
- 121 Prospect St
Passaic, NJ 07055-4989 - Phone
- (973) 777-3006
- Fax
- (973) 777-5587
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26NJ01334300 | NJ | Primary |
Addresses
Primary practice location
121 Prospect St
Passaic, NJ 07055-4989
Mailing address
121 Prospect St
Passaic, NJ 07055-4989
Phone (973) 777-3006
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
346 Roseville Ave
Newark, NJ 07107-1722
Phone (973) 482-7245
485 Mount Prospect Ave
FL 1
Newark, NJ 07104-2903
Phone (973) 485-6433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01334300 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salerno Medical Associates, LLC | Single Specialty | Current | Accepting new patients |
| Call to Care LLC | Single Specialty | Current | Accepting new patients |
| Roseville Medical Society LLC | Single Specialty | Current | Accepting new patients |
| Diligent Medical Care PC | Single Specialty | Current | Accepting new patients |
| North Ward Medical Arts LLC | Single Specialty | Current | Accepting new patients |
| Senior Healthcare Outreach Program | Single Specialty | Current | Accepting new patients |
| Metropolitan Medical Group LLC | Single Specialty | Current | Accepting new patients |
| Medical & Surgical Family Practice of Passaic P a | Single Specialty | Past | Accepting new patients |
Locations
613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455
613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955
613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433
346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245
485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433
523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516
570 32nd St
Union City, NJ 07087
Phone (201) 758-7250
Interoperability endpoints
- https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/DBACCA
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1275168320
Single Specialty
-
- Internal Medicine Physician
- East Orange, NJ
- NPI 1700442415
Single Specialty
-
dba Prospect Spine and Pain
- Internal Medicine Physician
- East Orange, NJ
- NPI 1184766107
Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- East Orange, NJ
- NPI 1588707954
Single Specialty
-
- General Practice Physician
- Passaic, NJ
- NPI 1457482614
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1417678798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PROSPECT ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554989",
"telephone_number": "973-777-3006",
"fax_number": "973-777-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PROSPECT ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554989",
"telephone_number": "973-777-3006",
"fax_number": "973-777-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARMENDIA",
"first_name": "CARMEN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "26NJ01334300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.