Active NPIIndividual providerSole proprietor

Karissa Carty, ATC

Specialist/Technologist, Athletic Trainer in Madison, New Jersey

NPI Number1679920854
Practice location
285 Madison Ave, M-Rc2-01, Madison, NJ 07940-1006
Fax
—
Last updated
May 18, 2016

Karissa Carty is a Specialist/Technologist, Athletic Trainer based in Madison, NJ. Karissa Carty practices in Madison, NJ and has the professional credentials of ATC. The NPI Number for Karissa Carty is 1679920854 and holds a License No. 25MT00201200 (NJ). The current practice location address for Karissa Carty is 285 Madison Ave, M-Rc2-01, Madison, NJ 07940-1006 and can be reached out via phone at 973-443-8874.

Provider Profile Details

NPI Number
1679920854
Provider Name
Karissa Carty
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
285 Madison Ave, M-Rc2-01, Madison, NJ 07940-1006
Phone Number
973-443-8874
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2016
Last Update Date
May 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
285 Madison Ave
M-Rc2-01
Madison, NJ 07940-1006
Zip
07940-1006
Phone Number
973-443-8874
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
325 Essex Ave
Bloomfield, NJ 07003-2866
City
Bloomfield
State
NJ
Zip
07003-2866
Phone Number
973-207-7508

License Information

License Number
25MT00201200
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Karissa Carty, ATC?

The NPI number of Karissa Carty, ATC is 1679920854. It was assigned on May 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Karissa Carty, ATC?

Karissa Carty, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00201200.

Where does Karissa Carty, ATC practice?

The practice location is 285 Madison Ave, M-Rc2-01, Madison, NJ 07940-1006. The office can be reached at 973-443-8874 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679920854 directly on the NPPES registry website.

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