Organization Active NPI

Elyse G Carty Robert W Carty

  • Family Medicine Physician
  • Bordentown, NJ
National Provider Identifier
1972519478
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELYSE G CARTY ROBERT W CARTY
Doing business as
Bordentown Family Medical Center
Practice address
1 Third Street
Bordentown, NJ 08505-1321
Phone
(609) 298-2005
Fax
(609) 324-8267
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Robert W Carty, MD
Title
Owner
Phone
(609) 298-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1 Third Street
Bordentown, NJ 08505-1321

Mailing address

1 Third St
Bordentown, NJ 08505-1321
Phone (609) 298-2005

Other names 1

  • Bordentown Family Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1 3rd St
Bordentown, NJ 08505
Phone (609) 298-2005

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1972519478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THIRD ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-2005",
            "fax_number": "609-324-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THIRD STREET",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-2005",
            "fax_number": "609-324-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE G CARTY ROBERT W CARTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "CARTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-298-2005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bordentown Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bordentown, NJ

Sources for this page

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