Active NPI
Mary Carney, APN, C
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- East Orange, NJ
National Provider Identifier
1720234792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 26NJ00167300
- Practice address
- 60 Evergreen PL
Second Floor
East Orange, NJ 07018-2106 - Phone
- (973) 854-3611
- Fax
- (973) 854-3612
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 26NJ00167300 | NJ | Primary |
Addresses
Primary practice location
60 Evergreen PL
Second Floor
East Orange, NJ 07018-2106
Mailing address
60 Evergreen PL
Second Floor
East Orange, NJ 07018-2106
Phone (973) 854-3611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00167300 | NJ | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Plus NJ, Inc. | Current | Accepting new patients | |
| Care Plus NJ, Inc | Current | Accepting new patients | |
| Care Plus NJ, Inc | Current | Accepting new patients |
Locations
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Fair Lawn, NJ
- NPI 1154448454
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morris Plains, NJ
- NPI 1902655970
-
- Community/Behavioral Health Agency
- Paramus, NJ
- NPI 1356394555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1720234792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 EVERGREEN PL",
"address_2": "SECOND FLOOR",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182106",
"telephone_number": "973-854-3611",
"fax_number": "973-854-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 EVERGREEN PL",
"address_2": "SECOND FLOOR",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182106",
"telephone_number": "973-854-3611",
"fax_number": "973-854-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "MARY",
"credential": "APN, C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "NJ",
"license": "26NJ00167300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.