Carissa Alison Hlywiak, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01296600 Issued in NJ

Practice address

817 Federal St
Camden, NJ 08103-1539

Phone

(856) 583-2400

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chlywiak652133@direct.ochin.org

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.

• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1790857696
  NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1912179953
  NPD
• Rma of NJ

  • Reproductive Endocrinology Physician
  • Basking Ridge, NJ
  • NPI 1992712558
  NPD (past)
• Premium Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1609129402
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1922740273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "185-658-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081051936",
            "country_code": "US",
            "telephone_number": "856-635-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Clementon",
            "state": "NJ",
            "postal_code": "080214158",
            "country_code": "US",
            "telephone_number": "856-627-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HLYWIAK",
        "first_name": "CARISSA",
        "middle_name": "ALISON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01296600",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01296600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hinkle, RPH
• Maya Hinton, MSW, LCSW
• Robert A Hirsh, MD
• Hispanic Family Center of Southern New Jersey
• Hispanic Family Center of Southern NJ Inc
• Laura H. Ho, CRNA
• Hoarders Express LLC
• Dennis J Hoelzer, MD
• Michael Phillip Hoess, CRNA
• Samuel Hofbauer

• Nurse Practitioner in Camden, NJ
• Providers in Camden, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.