Justin Matthew Carbonello, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA09852000 Issued in NJ

Practice address

308 Willow Ave
Hoboken, NJ 07030-3808

Phone

(973) 975-7527

NPI assigned

May 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians

Progressive Hudson Anesthesia LLCGroup PAC ID 2769615103, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.carbonello@direct.hobokenumc.md

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.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD
• Progressive Hudson Anesthesia, LLC

  • Anesthesiology Physician
  • Saddle Brook, NJ
  • NPI 1477887446
  Medicare reassignment Care Compare group NPD
• Centurion Anesthesia Surgical Centers LLC

  • Anesthesiology Physician
  • Valley Stream, NY
  • NPI 1326707100

  NJ

  Medicare reassignment Care Compare group NPD
• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  Care Compare affiliation

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1700179884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LEONARD ST",
            "address_2": "APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073101",
            "telephone_number": "973-975-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "973-975-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELLO",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09852000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Cantir, MD
• Giuliana Capone, PSY.D.
• Linda Lee Cappiello-Lindsley, M.D.
• Kristi Beth Capriglione, LPC, NCC
• Gabriella Carabasi, LAC
• Carefirst Associates, LLC (Guardian New Jersey)
• Cristina Carlos
• Kendall Elise Carneiro
• Jill Carpenter, LCSW
• Jillian L Carroll, APN

• Anesthesiology Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.