Individual provider Active NPI

Carline Eliezer, RN, MSN, APRN

  • Gerontology Registered Nurse
  • Union, NJ
National Provider Identifier
1609559178
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
26NO12139700 Issued in NJ
Practice address
2122 Vauxhall Rd
Union, NJ 07083-5875
Phone
(973) 223-6862
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 26NO12139700 NJ Primary

Addresses

Primary practice location

2122 Vauxhall Rd
Union, NJ 07083-5875

Mailing address

2122 Vauxhall Rd
Union, NJ 07083-5875
Phone (973) 223-6862

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO12139700NJMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1609559178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 VAUXHALL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835875",
            "telephone_number": "973-223-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 VAUXHALL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835875",
            "telephone_number": "973-223-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEZER",
        "first_name": "CARLINE",
        "name_prefix": "Prof.",
        "credential": "RN, MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NO12139700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.