Carter Global Healthcare LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

CARTER GLOBAL HEALTHCARE LLC

Practice address

321 E Broad St
Gibbstown, NJ 08027-2007

Phone

(856) 335-2288

Fax

(856) 335-2288

NPI assigned

Sep 5, 2021

Organization subpart

No

Name

Kimberly Renee Mack, APN

Title

Ceo

Phone

(856) 335-2288

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Renee Carter-Bowman, APN

  • Adult Health Nurse Practitioner
  • Woodstown, NJ
  • NPI 1154956001

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2021.

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630800000000",
    "number": "1457029233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E BROAD ST",
            "city": "GIBBSTOWN",
            "state": "NJ",
            "postal_code": "080272007",
            "telephone_number": "856-335-2288",
            "fax_number": "856-335-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E BROAD ST",
            "city": "GIBBSTOWN",
            "state": "NJ",
            "postal_code": "080272007",
            "telephone_number": "856-335-2288",
            "fax_number": "856-335-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER GLOBAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-335-2288",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0759571",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GIBBSTOWN",
            "affiliation": "N",
            "endpointDescription": "USA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 E Broad St",
            "city": "Gibbstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080272007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Raymond Filipponi, DPM

• All providers in Gibbstown, NJ
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; 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.