Provider Demographics
NPI:1982892188
Name:CARNEY, WILLIAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:CARNEY
Suffix:
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 1:127 UNION ST
Mailing Address - Street 2:STE 105
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-0000
Mailing Address - Country:US
Mailing Address - Phone:201-444-4447
Mailing Address - Fax:
Practice Address - Street 1:127 UNION STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:RIDGEWOOD,
Practice Address - State:NJ
Practice Address - Zip Code:07450-0000
Practice Address - Country:US
Practice Address - Phone:201-444-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06275800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG10048Medicare UPIN
NJ787566 U72Medicare PIN