Individual provider Active NPI

Cecilia J Trujillo-Carvalho, M.D.

  • Obstetrics & Gynecology Physician
  • North Bergen, NJ
National Provider Identifier
1770842809
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09663700 Issued in NJ
Practice address
7650 River Rd
Suite 230
North Bergen, NJ 07047-6526
Phone
(201) 868-6755
Fax
(201) 868-8442
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09663700 NJ Primary

Addresses

Primary practice location

7650 River Rd
Suite 230
North Bergen, NJ 07047-6526

Mailing address

7650 River Rd
Suite 230
North Bergen, NJ 07047-6526
Phone (201) 868-6755

Other identifiers 3

IdentifierTypeStateIssuer
051725OtherNJMEDICARE GROUP PTAN
0486931MedicaidNJ
25MA09663700OtherNJLICENSE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918000919 NJ Practitioner - Obstetrics/Gynecology 1254648520 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PC 1,027 clinicians
Newark Community Health Centers Inc 39 clinicians

Practice addresses (Care Compare)

671 Mount Prospect Ave
Suite 1
Newark, NJ 07104-3109
Phone (973) 497-9611

741 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

751 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

92 -96 Ferry St
Ironbound Medical and Dental Clinic
Newark, NJ 07104-4309
Phone (973) 803-4510

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09663700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 10, 2019 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Palisades Medical Associates LLC CurrentSince Jul 7, 2015 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Jul 1, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 10, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 10, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 10, 2023 Accepting new patients
Palisades House Physicians, PC Past Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

671 Mount Prospect Ave
#1
Newark, NJ 07104
Phone (973) 497-9611

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

751 Broadway
Newark, NJ 07104
Phone (973) 481-2400

6045 Kennedy Blvd
Ste B
North Bergen, NJ 07047
Phone (201) 453-0322

7650 River Rd
Ste 230
North Bergen, NJ 07047
Phone (201) 224-8831

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: ctrujillocarvalho102786@epicdirect.rwjbh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1770842809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 RIVER RD",
            "address_2": "SUITE 230",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476526",
            "telephone_number": "201-868-6755",
            "fax_number": "201-868-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 RIVER RD",
            "address_2": "SUITE 230",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476526",
            "telephone_number": "201-868-6755",
            "fax_number": "201-868-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO-CARVALHO",
        "first_name": "CECILIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09663700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "051725",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486931",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA09663700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.