Dr. Samuel Carruth Jr., MD
Pediatrics in Orange, New Jersey
1841246675- Practice location
- 485 Park Ave, Orange, NJ 07050-1721
- Phone
- 973-672-2770
- Fax
- 973-672-2770
- Last updated
- April 29, 2020
Samuel Carruth is a Pediatrics based in Orange, NJ. Samuel Carruth practices in Orange, NJ and has the professional credentials of MD. The NPI Number for Samuel Carruth is 1841246675 and holds a License No. 25MA07029000 (NJ). The current practice location address for Samuel Carruth is 485 Park Ave, Orange, NJ 07050-1721 and can be reached out via phone at 973-672-2770 and via fax at 973-672-2770.
Provider Profile Details
- NPI Number
- 1841246675
- Provider Name
- Samuel Carruth
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 485 Park Ave, Orange, NJ 07050-1721
- Phone Number
- 973-672-2770
- Fax Number
- 973-672-2770
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 25, 2006
- Last Update Date
- April 29, 2020
- Certification Date
- April 29, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 485 Park Ave
Orange, NJ 07050-1721 - City
- Orange
- State
- New Jersey
- Zip
- 07050-1721
- Phone Number
- 973-672-2770
- Fax Number
- 973-672-2770
Provider Business Mailing Address Details
- Address
- 25 Salter Pl
Maplewood, NJ 07040-2629 - City
- Maplewood
- State
- NJ
- Zip
- 07040-2629
- Phone Number
- 973-762-2562
License Information
- License Number
- 25MA07029000
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Samuel Carruth Jr., MD?
The NPI number of Dr. Samuel Carruth Jr., MD is 1841246675. It was assigned on May 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel Carruth Jr., MD?
Dr. Samuel Carruth Jr., MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA07029000.
Where does Dr. Samuel Carruth Jr., MD practice?
The practice location is 485 Park Ave, Orange, NJ 07050-1721. The office can be reached at 973-672-2770 (phone) or 973-672-2770 (fax).
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 1841246675 directly on the NPPES registry website.