Individual provider Active NPI

Mary Carney, APN, C

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • East Orange, NJ
National Provider Identifier
1720234792
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
26NJ00167300 Issued in NJ
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

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NJ00167300NJMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. Current Accepting new patients
Care Plus NJ, Inc CurrentSince Dec 10, 2018 Accepting new patients
Care Plus NJ, Inc CurrentSince Dec 10, 2018 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.

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

Verify at the official NPI Registry.