Carrie Hammer, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00562100 Issued in NJ

Practice address

90 Millburn Ave
Suite 206
Millburn, NJ 07041-1945

Phone

(973) 763-7546

NPI assigned

Jul 7, 2014

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Dermatology LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Clark, NJ
  • NPI 1851562425
  Medicare reassignment Care Compare group NPD
• Ovadia Plastic Surgery LLC

  • Plastic Surgery Physician
  • Millburn, NJ
  • NPI 1699638502
  NPD (past)
• Soma Skin & Laser, LLC

  • Dermatology Physician
  • Millburn, NJ
  • NPI 1457665838
  NPD (past)
• Clark Dermatology, LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1417316274
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1730595174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 REGENCY CIR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE",
            "address_2": "SUITE 206",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411945",
            "telephone_number": "973-763-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "CARRIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "671942",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16812100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00562100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana Guglielmino
• Kyung Joo Ha, D.D.S.
• Andrea S Hajduk, PT
• Hal Solomon DDS, LLC
• Adam Halpern, DO
• Rosemarie Frances Hampp, NCTMB, CLT
• Fei Han, MD
• Lonnie Hanauer, M.D.
• Sharon J Harris, CRNA
• Emily Elizabeth Harvan, PT, DPT

• Family Nurse Practitioner in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.