DR. CARLA PRIMIANI CANGEMI (NPI# 1154538759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154538759 |
| Entity Type | Individual |
| Full Name | DR. CARLA PRIMIANI CANGEMI |
| Credential | MD |
| Practice Address |
200 Somerset St New Brunswick NJ 08901-1942 |
| Practice Telephone | 7322587065 |
| Practice Fax Number | 7322587213 |
| Mailing Telephone | 7322587065 |
| Mailing Fax Number | 7322587213 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
234462 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
25MAO7976100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0223042 | 05 |
| Street Address |
200 SOMERSET ST |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699397133 | Alison Ricchiuti | Recreation Therapist | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2020-05-07 |
| 1487273686 | Melissa Lezark I | Nurse Practitioner | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2020-04-09 |
| 1003444522 | Lauren Horton | Nurse Practitioner | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2020-03-30 |
| 1093342206 | Soraya Simon | Student in an Organized Health Care Education/Training Program | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2020-03-26 |
| 1255891974 | Daniel Helfgott | Student in an Organized Health Care Education/Training Program | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2019-03-20 |
| 1720557358 | Anne Elizabeth Lyle | Nurse Practitioner | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2018-11-13 |
| 1336626753 | Jaya Isaac | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2018-07-27 |
| 1639675390 | Akreeti Maskey | Student in an Organized Health Care Education/Training Program | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2018-04-02 |
| 1790293819 | Kathryn Hottinger | Psychologist | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2018-01-11 |
| 1952833543 | Tara Elizabeth Chaney | Nurse Practitioner | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2017-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1083876106 | Hariprem Rajasekhar | Pediatrics | 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 | 2008-06-30 |
| 1093973695 | Christina Clare Lopez | Pediatrics | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2008-05-30 |
| 1790819951 | Tiong Gwan The | Pediatrics | 254 Easton Ave, St Peter's University Hospital, New Brunswick, NJ 08901 | 2007-03-16 |
| 1043371966 | Jacqueline Angela Williams-phillips | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
| 1013077890 | Daniel Notterman | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-11 |
| 1144389602 | Michael Kelly | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-08 |
| 1013076975 | Lisanne Hauck | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-07 |
| 1538228705 | Vicki Craig | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-06 |
| 1679631337 | Thomas Bojko | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-05 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
Please comment or provide details below to improve the information on DR. CARLA PRIMIANI CANGEMI.
| 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.