Individual provider Active NPI

Carolyn Rose St Hilaire, WHNP-BC

  • Women's Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1699265405
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NR18242300 Issued in NJ
Practice address
240 Mulberry St
Newark, NJ 07102-3528
Phone
(973) 622-3900
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NR18242300 NJ Primary

Addresses

Primary practice location

240 Mulberry St
Newark, NJ 07102-3528

Mailing address

21 Lombardy PL
Maplewood, NJ 07040-3218
Phone (973) 415-7680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028000806 NJ Practitioner - Nurse Practitioner 3375931199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

1045 Bloomfield Ave
Clifton, NJ 07012-2120
Phone (973) 883-1111

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-6635

80 Johnson Ave
Newark, NJ 07108-2729
Phone (973) 623-8592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR18242300NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Center, Inc CurrentSince Feb 1, 2024 Accepting new patients
Lifeline Medical Associates, LLC CurrentSince Oct 1, 2021 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

1540 Roosevelt Ave
Carteret, NJ 07008
Phone (732) 376-6650

1045 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 883-1111

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

175 High St
Newton, NJ 07860
Phone (973) 383-2121

695 N State Rt 17
Paramus, NJ 07652

695 N Route 17
Paramus, NJ 07652
Phone (201) 597-4000

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: carolyn.sthilaire.p2@direct.bhplannedparenthood.nextgenshare.com
  • Direct secure messaging: carolyn.st.hilaire.1@16647.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1699265405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOMBARDY PL",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403218",
            "telephone_number": "973-415-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MULBERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023528",
            "telephone_number": "973-622-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST HILAIRE",
        "first_name": "CAROLYN",
        "middle_name": "ROSE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NR18242300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.