Marise Carraha, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR05765000 Issued in NJ

Practice address

1160 Raymond Blvd
2ND Floor
Newark, NJ 07102

Phone

(973) 596-3961

NPI assigned

Mar 9, 2007

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

Registered Nurse

State licenses

Practice roles

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.

• Mt Carmel Guild Behavioral Healthcare

  • Psychiatric Hospital
  • Newark, NJ
  • NPI 1992879928
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972635712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SAINT JAMES AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951613",
            "telephone_number": "732-636-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 RAYMOND BLVD",
            "address_2": "2ND FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-596-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAHA",
        "first_name": "MARISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR05765000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Carollo, M.D.
• Gabrielle Caron, MD
• Brian Carr, RN
• Megan Ashley Carr
• Dina Anna Carra, FNP
• Susan Carrington-Royal
• Vincent Davidson Carrington, DENTIST DDS
• Barbara Carroll, APN-C
• Brian Gerard Carroll
• Mary Shannon Carroll, AU.D.

• Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Registered Nurse 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.