MEDICARE: CAREMED WV PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1124831532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMED WV PLLC

Provider Business Mailing Address
First Line	:	300 TICE BLVD STE 175
Second Line	:
City	:	WOODCLIFF LAKE
State	:	NJ
Zip	:	07677-8405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HILLCREST DR
Second Line	:
City	:	WILLIAMSON
State	:	WV
Zip	:	25661-3948
Country	:	US
Telephone Number	:	201-851-4665
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. CHET THARPE
Credential	:	MD
Telephone Number	:	212-734-6621

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/08/2026

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