Active NPI
Karen Canavan, NNP-BC
- Perinatal Registered Nurse
- Old Tappan, NJ
National Provider Identifier
1528436110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Registered Nurse
- License
- 377462
- Practice address
- 57 Foxwood SQ N
Old Tappan, NJ 07675-7359 - Phone
- (201) 767-6012
- Fax
- (201) 596-2701
- NPI assigned
- Sep 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perinatal Registered Nurse | 163WP1700X | 377462 | NY | Primary |
Addresses
Primary practice location
57 Foxwood SQ N
Old Tappan, NJ 07675-7359
Mailing address
57 Foxwood SQ N
Old Tappan, NJ 07675-7359
Phone (201) 767-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377462 | NY | MD | Perinatal Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442102400000",
"number": "1528436110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 FOXWOOD SQ N",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757359",
"telephone_number": "201-767-6012",
"fax_number": "201-596-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 FOXWOOD SQ N",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757359",
"telephone_number": "201-767-6012",
"fax_number": "201-596-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "KAREN",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-13",
"last_updated": "2015-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "NY",
"license": "377462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Tappan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.