Carmen Sofia Arismendy, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NJDCATEMP-011397 Issued in NJ

Practice address

235 Burnside PL
Ridgewood, NJ 07450-1701

Phone

(917) 763-3955

NPI assigned

Apr 16, 2020

Sex

Female

Sole proprietor

Yes

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1952920274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BURNSIDE PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501701",
            "telephone_number": "917-763-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BURNSIDE PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501701",
            "telephone_number": "917-763-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISMENDY",
        "first_name": "CARMEN",
        "middle_name": "SOFIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "NJDCATEMP-011397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.