Carol Brown Taylor

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG11180023 Issued in NJ

Practice address

1000 River Rd
Teaneck, NJ 07666-1914

Phone

(201) 692-2437

NPI assigned

Nov 13, 2018

Last updated

Nov 13, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1770052300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661914",
            "telephone_number": "201-692-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661914",
            "telephone_number": "201-692-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN TAYLOR",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "AG11180023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Group Home LLC
• Broadway Respite and Home Care, LLC
• Ruth Brody, LAC, NCC
• Brett Broussard
• Brown Eye Care Associates MD PA
• Andrew Carson Brown, M.D.
• Christopher David Brown, M.D.
• Robert Henry Brown, M.D.
• Robert Stephen Brown, M.D.
• Matilda S Bruno, PHARMD

• Gerontology Nurse Practitioner in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.