Individual provider Active NPI

Carman A Ciervo, D.O.

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1851371991
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05355700 Issued in NJ
Practice address
73 N Maple Ave
Suite B
Marlton, NJ 08053-1782
Phone
(856) 596-0558
Fax
(856) 596-4043
NPI assigned
Jan 17, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05355700 NJ Primary

Addresses

Primary practice location

73 N Maple Ave
Suite B
Marlton, NJ 08053-1782

Mailing address

73 N Maple Ave
Suite B
Marlton, NJ 08053-1782
Phone (856) 596-0558

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
I20100325000150 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1557497906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Care Alliance, PC CurrentSince Aug 15, 2020 Accepting new patients
Rowansom Dept of Pediatrics Past Accepting new patients
Family Physicians at Burlington Family Medicine PastSince Aug 15, 2020 Accepting new patients

Locations

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

Interoperability endpoints

  • Direct secure messaging: cciervo40331@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1851371991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 N MAPLE AVE",
            "address_2": "SUITE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531782",
            "telephone_number": "856-596-0558",
            "fax_number": "856-596-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N MAPLE AVE",
            "address_2": "SUITE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531782",
            "telephone_number": "856-596-0558",
            "fax_number": "856-596-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIERVO",
        "first_name": "CARMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05355700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.