Healthcare Provider Details

I. General information

NPI: 1801755855
Provider Name (Legal Business Name): CAREMED PLUS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W 7TH ST STE 100
PLAINFIELD NJ
07060-1629
US

IV. Provider business mailing address

96 LINWOOD PLZ STE 303
FORT LEE NJ
07024-3701
US

V. Phone/Fax

Practice location:
  • Phone: 201-297-9517
  • Fax:
Mailing address:
  • Phone: 201-297-9517
  • Fax: 347-412-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROMAN KOSIBOROD
Title or Position: OWNER
Credential: DO
Phone: 516-343-2772