David A Carrieri, DO
Individual provider Active NPI Family Medicine Physician · Green Brook, NJ
NPI 1831119643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831119643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB05572200 (NJ)
- Practice address
- 1005 North Washington Ave
Green Brook, NJ 08812 - Phone
- (732) 968-8900
- Fax
- (732) 968-4609
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medemerge LLC
Practice addresses (Care Compare)
1005 N Washington Ave
Green Brook, NJ 08812-2619
Phone (732) 968-8900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000798 | NJ | Practitioner - Family Practice | 7113113408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05572200 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medemerge LLC | Current |
Accepting new patients | |
| Robert Wood Johnson University Hospital, Inc | Past | Accepting new patients |
Locations
1005 N Washington Ave
#890
Green Brook, NJ 08812
Phone (732) 968-1217
1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1039
- dcarrieri59103@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB05572200 | NJ | Yes |
Addresses
Primary practice location
1005 North Washington Ave
Green Brook, NJ 08812
Mailing address
1005 North Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900
Other providers in Green Brook, NJ
- Kathleen Boniakowski
- Henry Borrelli
- Bridgewater Health Associates
- Bridgewater-Greenbrook Dental L.L.P
- Clair Carragino
- Center for Counseling and Mindful Living, LLC
- Central Jersey Urgent Care
- John Nick Chafos
- Vanessa H. Chafos
- Saqib Chaudhry
All providers in Green Brook, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.