Individual provider Active NPI

David Carotenuto, O.D.

  • Optometrist
  • Colts Neck, NJ
National Provider Identifier
1952392623
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00485900 Issued in NJ
Practice address
411 Route 34
Ste. 515
Colts Neck, NJ 07722-2520
Phone
(732) 409-0100
Fax
(732) 409-1024
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00485900 NJ Primary

Addresses

Primary practice location

411 Route 34
Ste. 515
Colts Neck, NJ 07722-2520

Mailing address

411 Route 34
Ste. 515
Colts Neck, NJ 07722-2520
Phone (732) 409-0100

Other identifiers 6

IdentifierTypeStateIssuer
8562202MedicaidNJ
P2521883OtherPXFORD
2588237OtherAETNA
1K8448OtherHEALTH NET- GUARDIAN
2117729OtherUNITED HEALTHCARE
5305010OtherCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000089 NJ Practitioner - Optometry 4486682689 Practice locations: Colts Neck, NJ; Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 Route 34
Suite 515
Colts Neck, NJ 07722-2521

411 State Route 34
Suite 515
Colts Neck, NJ 07722-2521
Phone (732) 409-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1952392623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ROUTE 34",
            "address_2": "STE. 515",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222520",
            "telephone_number": "732-409-0100",
            "fax_number": "732-409-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROUTE 34",
            "address_2": "STE. 515",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222520",
            "telephone_number": "732-409-0100",
            "fax_number": "732-409-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTENUTO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00485900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8562202",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PXFORD",
            "identifier": "P2521883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2588237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET- GUARDIAN",
            "identifier": "1K8448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2117729",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5305010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.