Healthcare Provider Details

I. General information

NPI: 1124831532
Provider Name (Legal Business Name): CAREMED WV PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HILLCREST DR
WILLIAMSON WV
25661-3948
US

IV. Provider business mailing address

300 TICE BLVD STE 175
WOODCLIFF LAKE NJ
07677-8405
US

V. Phone/Fax

Practice location:
  • Phone: 201-851-4665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHET THARPE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 212-734-6621