WILFREDO CARRENO MD NPI 1700803582

NPI Information

NPI: 1700803582
Provider Name: WILFREDO CARRENO, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
318 CHRIS GAUPP DR
GALLOWAY, NJ
ZIP 08205
Phone: (609) 404-9900
Get Directions

Wilfredo Carreno, MD is a cardiovascular disease internal medicine in Galloway, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Wilfredo Carreno, MD NPI is 1700803582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318 CHRIS GAUPP DR
GALLOWAY, NJ
ZIP 08205-460
Phone: (609) 404-9900
Fax: (609) 404-3653

The NPI 1700803582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA03522800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	430701C7N	MEDICARE PIN	NEW JERSEY
2	C57278	MEDICARE UPIN	NEW JERSEY
3	P655280	OTHER	NEW JERSEY	OXFORD
4	0099969000	OTHER	NEW JERSEY	AMERIHEALTH
5	430701CN9	MEDICARE PIN	NEW JERSEY
6	6521935005	OTHER	NEW JERSEY	CIGNA
7	113835	OTHER	NEW JERSEY	AETNA
8	060054142	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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