NPIMap

Individual provider Active NPI

Carl T Henningson Jr., M.D.

  • Hematology & Oncology Physician
  • Manasquan, NJ
National Provider Identifier
1609858463
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA07630600 Issued in NJ
Practice address
1707 Atlantic Ave
Manasquan, NJ 08736-1147
Phone
(732) 528-0760
Fax
(732) 528-0764
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA07630600 NJ Primary

Addresses

Primary practice location

1707 Atlantic Ave
Manasquan, NJ 08736-1147

Mailing address

1707 Atlantic Ave
Manasquan, NJ 08736-1147
Phone (732) 528-0760

Other identifiers 1

IdentifierTypeStateIssuer
1472305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001119 NJ Practitioner - Hematology/Oncology 2365439197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Yale University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

326 Professional View Dr
Freehold, NJ 07728-7904
Phone (844) 346-7222

40 Bey Lea Rd
Toms River, NJ 08753-2974
Phone (609) 835-2900

723 N Beers St
Suite 1E
Holmdel, NJ 07733-1512
Phone (844) 346-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as individual
Quality
59.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07630600NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jan 20, 2013 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jan 20, 2013 Accepting new patients

Locations

326 Professional View Dr
Freehold, NJ 07728
Phone (732) 431-8400

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

723 N Beers St
Ste 1E
Holmdel, NJ 07733
Phone (732) 431-8400

180 White Rd
Ste 106
Little Silver, NJ 07739
Phone (201) 510-0904

1707 Atlantic Ave
#9512
Manasquan, NJ 08736

1707 Atlantic Ave
Manasquan, NJ 08736
Phone (732) 292-2101

40 Bey Lea Rd
Ste A202
Toms River, NJ 08753
Phone (732) 367-1535

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 9

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609858463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 ATLANTIC AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361147",
            "telephone_number": "732-528-0760",
            "fax_number": "732-528-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ATLANTIC AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361147",
            "telephone_number": "732-528-0760",
            "fax_number": "732-528-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGSON",
        "first_name": "CARL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA07630600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1472305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.