Active NPI
David D Carrozzino DPM, PC
- Podiatrist
- Woodbury, NJ
National Provider Identifier
1902845860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MDO2048
- Legal business name
- DAVID D CARROZZINO DPM, PC
- Practice address
- 158 Delaware St
Woodbury, NJ 08096-5921 - Phone
- (856) 845-5515
- Fax
- (856) 853-6890
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Dominick Carrozzino, DPM
- Title
- Owner/Doctor
- Phone
- (856) 845-5515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MDO2048 | NJ | Primary |
Addresses
Primary practice location
158 Delaware St
Woodbury, NJ 08096-5921
Mailing address
158 Delaware St
Woodbury, NJ 08096-5921
Phone (856) 845-5515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1687369 | Other | NJ | AMERIHEALTH PPO GROUP NUM |
| 762090 | Other | NJ | BLUE SHIELD GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
158 Delaware St
Woodbury, NJ 08096
Phone (609) 845-5515
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Woodbury, NJ
- NPI 1477552362
-
- Foot & Ankle Surgery Podiatrist
- Camden, NJ
- NPI 1649617978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1902845860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 DELAWARE ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080965921",
"telephone_number": "856-845-5515",
"fax_number": "856-853-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 DELAWARE ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080965921",
"telephone_number": "856-845-5515",
"fax_number": "856-853-6890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID D CARROZZINO DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "CARROZZINO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "DOMINICK",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "856-845-5515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MDO2048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO GROUP NUM",
"identifier": "1687369",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "762090",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.