Jessica L Carroll, PA-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25MP00088900 Issued in NJ

Practice address

9501 Ventnor Ave
Margate City, NJ 08402-2218

Phone

(609) 823-6161

Fax

(609) 823-3413

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4

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.

• Dr. Lawrence J Anastasi, PA

  dba The Medical Center of Margate

  • Family Medicine Physician
  • Margate City, NJ
  • NPI 1922006659
  NPD (past)
• Shore Memorial Physicians Group PC

  • Family Medicine Physician
  • Somers Point, NJ
  • NPI 1518252873
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942300090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 KELVIN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161327",
            "telephone_number": "267-474-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022218",
            "telephone_number": "609-823-6161",
            "fax_number": "609-823-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "25MP00088900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Genevieve Bonaffini, D.O.
• Bridget a McLaughlin DMD LLC
• Glenn R. Budnick, M.D.
• Anthony Cappuccio
• Eugene C. Carroccia, M.D.
• Michael J Caruso, DO
• Bernard Samuel Casel, MD
• Kelley E Cerchione, OD
• City of Margate City (Margate Fire Department)
• Allison Corley, LCSW

• Family Nurse Practitioner in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.