Healthcare Provider Details

I. General information

NPI: 1881508687
Provider Name (Legal Business Name): ROBERT CARR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CORLIES AVE
NEPTUNE NJ
07753-5197
US

IV. Provider business mailing address

138 WEIN MARKET UNIT C
FREEHOLD NJ
07728-5225
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4370
  • Fax:
Mailing address:
  • Phone: 732-299-2498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number26NJ15673000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: