Individual provider Active NPI

Robert Patrick Carroll II, FNP-BC

  • Family Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1780187096
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14999600 Issued in NJ
Practice address
70 S Orange Ave Ste 235
Livingston, NJ 07039-4915
Phone
(973) 607-4911
NPI assigned
Mar 13, 2018
Reactivated
Jun 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NJ
Family Nurse Practitioner 363LF0000X APRN11026128 FL
Family Nurse Practitioner 363LF0000X 351807 NY
Family Nurse Practitioner 363LF0000X 26NJ14999600 NJ Primary

Addresses

Primary practice location

70 S Orange Ave Ste 235
Livingston, NJ 07039-4915

Mailing address

70 S Orange Ave Ste 235
Livingston, NJ 07039-4915
Phone (973) 607-4911

Other practice location 1

2177 Oak Tree Rd Ste 2510
Edison, NJ 08820-1082
Phone (908) 754-2100

Other practice location 2

190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407
Phone (732) 828-9988

Other practice location 3

A53 Woodside Gdns
Roselle Park, NJ 07204-1007
Phone (973) 666-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019001099 NY Practitioner - Nurse Practitioner 5193171601 Reassigns benefits to 1 organization
I20240429002547 NJ Practitioner - Nurse Practitioner 5193171601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians

Practice addresses (Care Compare)

400 Westfield Ave
Elizabeth, NJ 07208-1621
Phone (732) 469-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11026128FLMDFamily Nurse Practitioner
351807NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Dec 1, 2025 Accepting new patients
Jersey Irish Medical Urgent Care CurrentSince Sep 1, 2025 Accepting new patients
Life Medical Group, PC Urgent Care CurrentSince Feb 24, 2025 Accepting new patients
Carroll Health and Wellness Urgent Care CurrentSince Jun 3, 2025 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Sep 18, 2023 Accepting new patients
DRX Paramus, LLC Urgent Care CurrentSince Dec 17, 2023 Accepting new patients
Life Mobile Imaging, Inc CurrentSince Mar 11, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2024 Accepting new patients
Hudson MD Group CurrentSince Jun 28, 2024 Accepting new patients
RPC Group Urgent Care CurrentSince Jun 3, 2025 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations (25 of 38)

501 Washington Ave
Belleville, NJ 07109
Phone (862) 762-0585

220 Bloomfield Ave
Bloomfield, NJ 07003

220 Bloomfield Ave
Bloomfield, NJ 07003
Phone (862) 283-0000

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

889 Allwood Rd
Clifton, NJ 07012
Phone (973) 778-6800

3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230

190 State Route 18
Ste 202
East Brunswick, NJ 08816
Phone (732) 828-9988

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

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

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

276 Passaic Ave
Kearny, NJ 07032

1020 W Edgar Rd
Linden, NJ 07036
Phone (908) 275-5922

269 US Highway 46
Little Ferry, NJ 07643
Phone (201) 719-9371

70 S Orange Ave
Ste 235
Livingston, NJ 07039
Phone (973) 607-4911

2 Memorial Dr
Lodi, NJ 07644
Phone (551) 837-2051

352 Ryders Ln
Milltown, NJ 08850
Phone (732) 638-1990

1286 Springfield Ave
New Providence, NJ 07974
Phone (908) 402-3338

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1120 US Highway 9
Old Bridge, NJ 08857
Phone (732) 200-7800

67 E Ridgewood Ave
#C
Paramus, NJ 07652
Phone (201) 262-2010

1160 US Highway 46
Parsippany, NJ 07054
Phone (973) 313-8484

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1780187096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S ORANGE AVE STE 235",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394915",
            "telephone_number": "973-607-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S ORANGE AVE STE 235",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394915",
            "telephone_number": "973-607-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 Oak Tree Rd Ste 2510",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201082",
            "country_code": "US",
            "telephone_number": "908-754-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 State Route 18 Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088161407",
            "country_code": "US",
            "telephone_number": "732-828-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "A53 Woodside Gdns",
            "address_purpose": "LOCATION",
            "city": "Roselle Park",
            "state": "NJ",
            "postal_code": "072041007",
            "country_code": "US",
            "telephone_number": "973-666-2319",
            "fax_number": "973-637-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "deactivation_date": "2023-05-22",
        "reactivation_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14999600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.