Healthcare Provider Details

I. General information

NPI: 1629930458
Provider Name (Legal Business Name): CAROLYN CARPINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MUNRO AVE
CAPE MAY NJ
08204-5000
US

IV. Provider business mailing address

32 EVERGREEN DR
OCEAN VIEW NJ
08230-1330
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-6611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number22HI01162300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: