DR. CHARLES B. CARSON (NPI# 1194841411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194841411 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B. CARSON |
| Credential | M.D. |
| Practice Address |
1041 S Orange Ave Newark NJ 07106-1716 |
| Practice Telephone | 9733757112 |
| Practice Fax Number | 9733753989 |
| Mailing Telephone | 9733757112 |
| Mailing Fax Number | 9733753989 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 37995 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3621201 | 05 |
| Street Address |
1041 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334112 | Sanford Community Pharmacy LLC | Pharmacy | 1041 S Orange Ave, Newark, NJ 07106-1716 | 2005-11-26 |
| 1447816913 | Project Dart LLC | Community/Behavioral Health | 1041 S Orange Ave, Newark, NJ 07106-1716 | 2019-05-10 |
| 1629501192 | Sanford Community Pharmacy LLC | Pharmacy | 1041 S Orange Ave, Newark, NJ 07106-1716 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175535 | Mayurkumar M Rana | Pharmacist | Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 | 2018-12-07 |
| 1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
| 1942728258 | Amen Transporation LLC | Transportation Broker | 105 Lenox Street, Newark, NJ 07106 | 2017-09-07 |
| 1073898466 | Rashmi Singh | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2011-10-17 |
| 1760767669 | Shridevi Patel | Pharmacist | 561 Irvington Avenue, Newark, NJ 07106 | 2011-10-12 |
| 1083629067 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 561 Irvington Ave # 579, Newark, NJ 07106 | 2006-07-29 |
| 1184239352 | Chenbin Frederick Liao | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2020-09-14 |
| 1740550763 | Maria Veronica Cruz Camacho | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2012-01-06 |
| 1093015000 | Dereck L Dillard | Home Health Aide | 238 Smith St, Newark, NJ 07106 | 2010-10-25 |
| 1245240571 | Raisa Samuylova | Dentist | 5 Manor Dr, Suite #1c, Newark, NJ 07106 | 2006-08-09 |
| Find all providers in zip 07106 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.