Provider Demographics
NPI:1760486476
Name:CARMAN, ROY L III (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:L
Last Name:CARMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WHITE RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1166
Mailing Address - Country:US
Mailing Address - Phone:732-747-4007
Mailing Address - Fax:732-747-8497
Practice Address - Street 1:180 WHITE RD
Practice Address - Street 2:SUITE 211
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1166
Practice Address - Country:US
Practice Address - Phone:732-747-4007
Practice Address - Fax:732-747-8497
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA32701207RG0100X
NJ25MA03270100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049780Medicare ID - Type Unspecified
NJD07027Medicare UPIN