MEDICARE: MS. CHERYL ANN CARTER M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MA07498900	NJ

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	223363012	OTHER	BEACHST CORP MEDICHOICE
2	223363012	OTHER	GREAT WEST HEALTHCARE
3	223363012	OTHER	PAYERS COALITION OF NJ
4	60004673	OTHER	HORIZON NJ HEALTH
5	7374473	OTHER	AETNA TRADITIONAL
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	223363012	OTHER	FAMILY CHOICE
8	191225	OTHER	AMERIGROUP
9	223363012	OTHER	CHN CONSUMER HEALTH NET
10	5367738001	OTHER	CIGNA
11	223363012	OTHER	GALAXY HEALTH NETWORK INC
12	1000628000	OTHER	AMERICHOICE
13	1576147	OTHER	AMERIHEALTH PPO
14	223363012	OTHER	HEALTH PAYORS ORG LTD
15	223363012	OTHER	HORIZON BCBS OF NJ
16	2256030000	OTHER	AMERIHEALTH HMO
17	3334569	OTHER	AETNA HMO
18	223363012	OTHER	DEVON HEALTH
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1639188014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL ANN CARTER M.D.

Provider Business Mailing Address
First Line	:	935 GARFIELD AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-2731
Country	:	US
Telephone Number	:	201-478-5800
Fax Number	:	201-475-5814

Provider Business Practice Location Address
First Line	:	935 GARFIELD AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-2731
Country	:	US
Telephone Number	:	201-478-5800
Fax Number	:	201-475-5814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	11/13/2018

935 GARFIELD AVE FL 2
JERSEY CITY, NJ
07304-2731

Practice Phone: 201-478-5871
Practice Fax: 201-478-5814