Paul Carbonaro, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA07015900 Issued in NJ

Practice address

900 Route 168
Suite F5
Turnersville, NJ 08012-3233

Phone

(856) 232-7500

Fax

(856) 232-7506

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Dermatology, LLC

  • Dermatology Physician
  • Turnersville, NJ
  • NPI 1881628907
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1841262185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168",
            "address_2": "SUITE F5",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123233",
            "telephone_number": "856-232-7500",
            "fax_number": "856-232-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168",
            "address_2": "SUITE F5",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123233",
            "telephone_number": "856-232-7500",
            "fax_number": "856-232-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONARO",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07015900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Butler
• Saeed A Butt, MD
• Janet Cahill, PH.D.
• Caim Counseling LLC
• Jo-Ann M. Cannon, PH.D.
• Douglas Floyd Carey, APN
• Sean E Carey, MA, LAC
• Carl a. Vitola, DO PC
• Lindsay Carlisle
• Erin Marie Caruso, APN

• Dermatology Physician in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.