Carmen Rose Ford, ANP C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN06886100 Issued in NJ

Practice address

147 Columbia Tpke
Suite 308
Florham Park, NJ 07932-2113

Phone

(973) 410-9700

Fax

(973) 410-9703

NPI assigned

Apr 10, 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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nybg.carmenford@136202.advancedmd-direct.com

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.

• Premier Bariatric New Jersey PC

  • Specialist
  • Wayne, NJ
  • NPI 1548735145
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1568635571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE",
            "address_2": "SUITE 308",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322113",
            "telephone_number": "973-410-9700",
            "fax_number": "973-410-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE",
            "address_2": "SUITE 308",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322113",
            "telephone_number": "973-410-9700",
            "fax_number": "973-410-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CARMEN",
        "middle_name": "ROSE",
        "credential": "ANP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN06886100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Fodero Jr., M.D.
• Foot and Ankle Care Center LLC
• Foot Care Clinic Inc
• Foot Clinic PC
• Taylor Forbes, PT, DPT
• Julia Margaret Ford, ATC
• Fordham-Lewis Consulting, LLC
• Fordham-Lewis Consulting, LLC
• Fordham-Lewis Consulting, LLC
• Fordham-Lewis Consulting, LLC

• Adult Health Nurse Practitioner in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.