Provider Demographics
NPI:1134377229
Name:CARPIZO, DARREN R (MD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:R
Last Name:CARPIZO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4947
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:195 LITTLE ALBANY ST
Practice Address - Street 2:ROOM 3040
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1914
Practice Address - Country:US
Practice Address - Phone:732-235-8524
Practice Address - Fax:732-235-8091
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2023-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2396712086X0206X
NJ25MA084106002086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0181927Medicaid
NJ149891P3VMedicare PIN