Healthcare Provider Details

I. General information

NPI: 1629917075
Provider Name (Legal Business Name): MR. TROY TREVOR CARRINGTON JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 RIDGEHURST RD
WEST ORANGE NJ
07052-5717
US

IV. Provider business mailing address

44 RIDGEHURST RD
WEST ORANGE NJ
07052-5717
US

V. Phone/Fax

Practice location:
  • Phone: 973-518-0732
  • Fax:
Mailing address:
  • Phone: 973-518-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NR24029600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: