Carl G. Quillen, M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA34002 Issued in NJ

Legal business name

CARL G. QUILLEN, M.D. P.A.

Practice address

2040 Millburn Ave
Suite 405
Maplewood, NJ 07040-3726

Phone

(973) 763-2320

Fax

(973) 763-4648

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl G. Quillen, M.D.

Title

President

Phone

(973) 763-2320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1467492322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE",
            "address_2": "SUITE 405",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403726",
            "telephone_number": "973-763-2320",
            "fax_number": "973-763-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE",
            "address_2": "SUITE 405",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403726",
            "telephone_number": "973-763-2320",
            "fax_number": "973-763-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL G. QUILLEN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "QUILLEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-763-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA34002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6643302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica N Campbell
• Lorraine Caputo, LCSW
• Dana Lauren Carbone, LMFT
• Cardiology and Vascular Consultants of New Jersey
• Marijo Brillantes Carino, RPT
• Vanessa A Carney, ATC, MAT
• William Edgar Carr, LCSW
• Angelo Cece, D.M.D.
• Michael Cece, D.D.S.
• Cephas Mental Wellness LLC

• Specialist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.