NPIMap

Organization Active NPI

Carney T. Desarno, MD, LLC

  • Surgery Physician
  • Neptune, NJ
National Provider Identifier
1801039631
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA064976 Issued in NJ
Legal business name
CARNEY T. DESARNO, MD, LLC
Practice address
1706 Corlies Ave
Suite 5
Neptune, NJ 07753-4910
Phone
(732) 775-5005
Fax
(732) 775-0064
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Carney Thomas Desarno, M.D.NPI 1144296187
Title
President
Phone
(732) 775-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA064976 NJ Primary

Addresses

Primary practice location

1706 Corlies Ave
Suite 5
Neptune, NJ 07753-4910

Mailing address

PO Box 848
Neptune, NJ 07754-0848
Phone (732) 775-5005

Other names 1

  • Jersey Shore Advanced Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1706 Corlies Ave
Ste 5
Neptune, NJ 07753
Phone (732) 450-1500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1801039631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077540848",
            "telephone_number": "732-775-5005",
            "fax_number": "732-775-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 CORLIES AVE",
            "address_2": "SUITE 5",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534910",
            "telephone_number": "732-775-5005",
            "fax_number": "732-775-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEY T. DESARNO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "DESARNO",
        "authorized_official_first_name": "CARNEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-775-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA064976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Advanced Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.