Organization Active NPI

William P Carney MD LLC

  • Physical Therapist
  • Ridgewood,, NJ
National Provider Identifier
1972681377
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00907400 Issued in NJ
Legal business name
WILLIAM P CARNEY MD LLC
Practice address
127 Union Street
Suite 105
Ridgewood,, NJ 07450-0000
Phone
(201) 444-4447
Fax
(201) 444-5155
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Ms. Janneth Restrepo
Title
Manager
Phone
(201) 444-4447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 25MA06275800 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00907400 NJ Primary

Addresses

Primary practice location

127 Union Street
Suite 105
Ridgewood,, NJ 07450-0000

Mailing address

127 Union St
Ste 105
Ridgewood, NJ 07450-0000
Phone (201) 444-4447

Other identifiers 1

IdentifierTypeStateIssuer
099666OtherNJMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

574 Summit Ave
Fl 5
Jersey City, NJ 07306
Phone (201) 857-5957

127 Union St
Ste 107
Ridgewood, NJ 07450
Phone (201) 444-4447

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1972681377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "address_2": "STE 105",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074500000",
            "telephone_number": "201-444-4447",
            "fax_number": "201-444-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION STREET",
            "address_2": "SUITE 105",
            "city": "RIDGEWOOD,",
            "state": "NJ",
            "postal_code": "074500000",
            "telephone_number": "201-444-4447",
            "fax_number": "201-444-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P CARNEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "JANNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-444-4447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA06275800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00907400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "099666",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood,, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.