Karissa Carty, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00201200 Issued in NJ

Practice address

285 Madison Ave
M-RC2-01
Madison, NJ 07940-1006

Phone

(973) 443-8874

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1679920854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ESSEX AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032866",
            "telephone_number": "973-207-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "address_2": "M-RC2-01",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401006",
            "telephone_number": "973-443-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTY",
        "first_name": "KARISSA",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00201200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil John Armand Cappetta
• Lisa Cardinal, LPC
• Carol Tudor
• Lisa M Carr, MA,BCBA
• Shelli Carter, LPC
• Christine Casile, BA,RDH
• Catherine A. Cassidy, PHD, APN-C
• Alan Francis Cebulski, D.C.
• Thomas Cerutti
• Sue Yong Chang, DDS

• Athletic Trainer in Madison, NJ
• Providers in Madison, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.