Angela Carney, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26NJ01099700 Issued in NJ

Practice address

1130 Sycamore LN
Mahwah, NJ 07430-2344

Phone

(551) 804-9351

NPI assigned

Mar 19, 2021

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

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peak Medical and Wellness Centers LLCGroup PAC ID 5294176236, 6 clinicians

Atlantic Wellness Chiropractic PCGroup PAC ID 1759354046, 3 clinicians

The Back Pain Center LLCGroup PAC ID 7214917681, 6 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 and National Provider Directory roles.

• Atlantic Wellness Chiropractic PC

  • Physical Therapist
  • Saddle Brook, NJ
  • NPI 1073661070
  Medicare reassignment Care Compare group NPD
• Peak Medical & Wellness Centers LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
  • NPI 1336994383
  Medicare reassignment Care Compare group NPD
• The Back Pain Center, LLC

  • Specialist
  • Waldwick, NJ
  • NPI 1437256658
  Medicare reassignment Care Compare group
• Back to Health Chiropractic & Wellness Care, PC

  • Nurse Practitioner
  • Wayne, NJ
  • NPI 1033421151
  Medicare reassignment
• Peak Medical Centers

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
  • NPI 1356913834
  NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1770169971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SYCAMORE LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302344",
            "telephone_number": "551-804-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SYCAMORE LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302344",
            "telephone_number": "551-804-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ01099700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caids Therapy Services
• Camp Acorn, Inc.
• Camp Acorn, Inc.
• Nia Kristen Canales, OTR
• Cardiology & Oncology Assoc., P.a.
• Donna Carrazzone, DNP
• Pablo A Catangay, M.D.
• Samantha Cerami, LCSW
• Champion Health and Wellness
• Champion Therapy LLC

• Family Medicine Physician in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.