Individual provider Active NPI

Anthony Franklin Carolla, M.D.

  • Plastic Surgery Physician
  • Galloway, NJ
National Provider Identifier
1770538589
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MA29380 Issued in NJ
Practice address
435A S Pitney Rd
Galloway, NJ 08205-9780
Phone
(609) 652-3155
Fax
(609) 652-3155
NPI assigned
May 23, 2006
Last updated
Mar 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MA29380 NJ Primary

Addresses

Primary practice location

435A S Pitney Rd
Galloway, NJ 08205-9780

Mailing address

435A S Pitney Rd
Galloway, NJ 08205-9780
Phone (609) 652-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA29380NJMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1770538589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435A S PITNEY RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059780",
            "telephone_number": "609-652-3155",
            "fax_number": "609-652-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435A S PITNEY RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059780",
            "telephone_number": "609-652-3155",
            "fax_number": "609-652-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLLA",
        "first_name": "ANTHONY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA29380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.