Active NPI
William P Carney MD LLC
- Physical Therapist
- Ridgewood,, NJ
National Provider Identifier
1972681377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00907400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA06275800 | NJ | |
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099666 | Other | NJ | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.