Active NPI
Carolyn Pierre-Outlar, RPAC
- Physician Assistant
- New York, NY
National Provider Identifier
1861578650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011553
- Practice address
- 489 5TH Ave FL 3
New York, NY 10017-6145 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011553 | NY | Primary |
Addresses
Primary practice location
489 5TH Ave FL 3
New York, NY 10017-6145
Mailing address
820 Boynton Ave Apt 3D
Bronx, NY 10473-4615
Phone (646) 734-8428
Other practice location 1
110 W 97th St
New York, NY 10025-6450
Phone (212) 749-1820
Other practice location 2
960 Southern Blvd
Bronx, NY 10459-3402
Phone (718) 589-2440
Other names 1
- Ms. Carolyn Pierre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260327003593 | NY | Order and Referring Only - Physician Assistant | 2769531235 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urban Health Plan Inc
Practice addresses (Care Compare)
1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011553 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North General Physician Services PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1861578650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 BOYNTON AVE APT 3D",
"city": "BRONX",
"state": "NY",
"postal_code": "104734615",
"telephone_number": "646-734-8428",
"fax_number": "406-289-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176145",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "110 W 97th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100256450",
"country_code": "US",
"telephone_number": "212-749-1820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "960 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104593402",
"country_code": "US",
"telephone_number": "718-589-2440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERRE-OUTLAR",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "PIERRE",
"prefix": "MS.",
"credential": "RPAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.