Individual provider Active NPI

Carly McCrink-Levin

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1952054660
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01307900 Issued in NJ
Practice address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone
(973) 435-9463
NPI assigned
Feb 2, 2022
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310532 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ01307900 NJ Primary

Addresses

Primary practice location

2 University PLZ Ste 204
Hackensack, NJ 07601-6211

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 1

290 Madison Ave Ste 3A
Morristown, NJ 07960-7401
Phone (973) 590-2448

Other practice location 2

425 E 61st St
New York, NY 10065-8722
Phone (646) 962-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220506000459 NY Practitioner - Nurse Practitioner 7810374139 Reassigns benefits to 2 organizations
I20220806000669 NJ Practitioner - Nurse Practitioner 7810374139 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01307900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Mar 10, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 1, 2022 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Sep 1, 2022 Accepting new patients
Ennoble HC NJ PC CurrentSince Jul 8, 2022 Accepting new patients
New Jersey Post Acute Medical Services 1 PA CurrentSince Mar 10, 2025 Accepting new patients
NJ Pacs 2 PA CurrentSince Mar 10, 2025 Accepting new patients
Angelo del Priore DPM Past Accepting new patients
Lifestyle Wellness PastSince May 25, 2021 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

215 Madison Ave
Madison, NJ 07940
Phone (973) 301-0005

77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800

95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 E 61st St
New York, NY 10065
Phone (212) 752-2000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#F610
New York, NY 10065
Phone (212) 746-2347

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1952054660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "973-435-9463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Madison Ave Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607401",
            "country_code": "US",
            "telephone_number": "973-590-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E 61st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100658722",
            "country_code": "US",
            "telephone_number": "646-962-7378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRINK-LEVIN",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310532",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01307900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.