Individual provider Active NPI

Robert Patric Carrozza, FNP-BC

  • Family Nurse Practitioner
  • Swedesboro, NJ
National Provider Identifier
1689953457
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP005257B Issued in PA
Practice address
30 Birchwood PL
Swedesboro, NJ 08085-1509
Phone
(856) 467-5348
NPI assigned
Aug 11, 2011
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP005257B PA Primary

Addresses

Primary practice location

30 Birchwood PL
Swedesboro, NJ 08085-1509

Mailing address

30 Birchwood PL
Swedesboro, NJ 08085-1509
Phone (856) 467-5348

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP005257BPAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: healthcarecommons.robertcarrozza@127476.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1689953457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BIRCHWOOD PL",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851509",
            "telephone_number": "856-467-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BIRCHWOOD PL",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851509",
            "telephone_number": "856-467-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROZZA",
        "first_name": "ROBERT",
        "middle_name": "PATRIC",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP005257B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

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