Organization Active NPI

Carroll Health and Wellness

  • Primary Care Clinic/Center
  • Roselle Park, NJ
National Provider Identifier
1417740291
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARROLL HEALTH AND WELLNESS
Practice address
A53 Woodside GDNS
Roselle Park, NJ 07204-1007
Phone
(973) 666-2319
Fax
(973) 637-4441
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Authorized official

Name
Robert P Carroll II, FNP-BCNPI 1780187096
Title
President
Phone
(973) 666-2319

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

A53 Woodside GDNS
Roselle Park, NJ 07204-1007

Mailing address

6 Kilmer Rd Ste 1118
Edison, NJ 08817-2432
Phone (973) 666-2319

National Provider Directory

National Provider Directory
Tax ID family
Carroll Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 Kilmer Rd
Ste 1118
Edison, NJ 08817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1417740291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KILMER RD STE 1118",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172432",
            "telephone_number": "973-666-2319",
            "fax_number": "973-637-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A53 WOODSIDE GDNS",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041007",
            "telephone_number": "973-666-2319",
            "fax_number": "973-637-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-666-2319",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.