Caroline O Corvino, CNS, APN C

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

26NJ00173100 Issued in NJ

Practice address

260 Broadway
Newark, NJ 07104-3906

Phone

(973) 482-2774

Fax

(973) 480-2870

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Consultation Service Inc

  • Community/Behavioral Health Agency
  • Newark, NJ
  • NPI 1760522338
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1548414964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043906",
            "telephone_number": "973-482-2774",
            "fax_number": "973-480-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043906",
            "telephone_number": "973-482-2774",
            "fax_number": "973-480-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVINO",
        "first_name": "CAROLINE",
        "middle_name": "O",
        "credential": "CNS, APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00173100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Jose Coronado Guzman
• Sophia Aracely Correa Bravo, MD
• Joaquim Jose Correia, MD
• Ramiro Furtado Correia, LPC, LCADC
• Natalie Rea Cortez, LSW
• Madeline Cosme
• Janine Maria Costa, CRNA
• Toni A Costanzo, PA-C
• Maria E Costeira, RPH
• Suzanne Lee Cottle, CRNA

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Newark, NJ
• Providers in Newark, NJ by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.