Provider Demographics
NPI:1639188014
Name:CARTER, CHERYL ANN (MD)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:935 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2731
Mailing Address - Country:US
Mailing Address - Phone:201-478-5800
Mailing Address - Fax:201-475-5814
Practice Address - Street 1:935 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2731
Practice Address - Country:US
Practice Address - Phone:201-478-5800
Practice Address - Fax:201-475-5814
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA07498900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
223363012OtherBEACHST CORP MEDICHOICE
223363012OtherGREAT WEST HEALTHCARE
223363012OtherPAYERS COALITION OF NJ
60004673OtherHORIZON NJ HEALTH
7374473OtherAETNA TRADITIONAL
NJ0034703Medicaid
223363012OtherFAMILY CHOICE
191225OtherAMERIGROUP
223363012OtherCHN CONSUMER HEALTH NET
5367738001OtherCIGNA
223363012OtherGALAXY HEALTH NETWORK INC
1000628000OtherAMERICHOICE
1576147OtherAMERIHEALTH PPO
223363012OtherHEALTH PAYORS ORG LTD
223363012OtherHORIZON BCBS OF NJ
2256030000OtherAMERIHEALTH HMO
3334569OtherAETNA HMO
223363012OtherDEVON HEALTH