Individual provider Active NPI

Teralyn Carter, M.D.

  • Surgery Physician
  • Camden, NJ
National Provider Identifier
1598064792
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA10880700 Issued in NJ
Practice address
2 Cooper PLZ 400 Haddon Avenue
Camden, NJ 08103-1461
Phone
(855) 632-2667
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 83301 GA
Surgery Physician 208600000X 25MA10880700 NJ Primary

Addresses

Primary practice location

2 Cooper PLZ 400 Haddon Avenue
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1365 Clifton Rd NE Bldg C
Atlanta, GA 30322-1013
Phone (404) 778-3307

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915003799 NJ Practitioner - General Surgery 4082935101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy39
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83301GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA Surgery CurrentSince Aug 27, 2020 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Aug 27, 2020 Accepting new patients

Locations

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
#A
Camden, NJ 08103
Phone (888) 499-8779

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

110 Marter Ave
Ste 503
Moorestown, NJ 08057
Phone (856) 608-8840

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

900 Centennial Blvd
Ste F
Voorhees, NJ 08043
Phone (856) 325-6644

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

1000 Rev Dr Martin Luther King Jr Dr
Ste C
Willingboro, NJ 08046

Interoperability endpoints

  • Direct secure messaging: tcarter101392@direct.cooperhealth.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1598064792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER PLZ 400 HADDON AVENUE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "855-632-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE Bldg C",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-3307",
            "fax_number": "404-778-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TERALYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "83301",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10880700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.