Active NPI
Robert W Carty, M.D.
- Family Medicine Physician
- Bordentown, NJ
National Provider Identifier
1689672800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04091000
- Practice address
- 1 Third St
Bordentown, NJ 08505-1321 - Phone
- (609) 298-2005
- Fax
- (609) 324-8267
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA04091000 | NJ | Primary |
Addresses
Primary practice location
1 Third St
Bordentown, NJ 08505-1321
Mailing address
PO Box 8500-2946
Philadelphia, PA 19178-0001
Phone (609) 815-7810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0163856 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physicians Group, PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mercerville, NJ
- NPI 1417904087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1689672800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-2946",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "609-815-7810",
"fax_number": "609-324-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 THIRD ST",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051321",
"telephone_number": "609-298-2005",
"fax_number": "609-324-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTY",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA04091000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0163856",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.