Basic Information
Provider Information
NPI: 1427502723
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARPIN
FirstName: CARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 593
Address2:  
City: CAPE MAY COURT HOUSE
State: NJ
PostalCode: 082100593
CountryCode: US
TelephoneNumber: 6094652273
FaxNumber: 6094630235
Practice Location
Address1: 215 N MAIN ST
Address2:  
City: CAPE MAY COURT HOUSE
State: NJ
PostalCode: 082102121
CountryCode: US
TelephoneNumber: 6094632273
FaxNumber: 6095368215
Other Information
ProviderEnumerationDate: 08/04/2016
LastUpdateDate: 02/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X26NJ00784600NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home