Provider Demographics
NPI:1720178635
Name:STOPPER, CARL (RN APN C)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:STOPPER
Suffix:
Gender:M
Credentials:RN APN C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MADISON AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-285-7800
Mailing Address - Fax:973-285-7839
Practice Address - Street 1:310 MADISON AVE
Practice Address - Street 2:STE 300
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-285-7800
Practice Address - Fax:973-285-7839
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMS0817114363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q08488Medicare UPIN