Dr. Charles B. Carson , MD
Specialist • Newark, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Carson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Carson, MD was a registered Specialist practicing in Newark, NJ. Throughout an active medical career spanning 13 years, Dr. Carson provided care at the practice location at 1041 S ORANGE AVE until profile deactivation on 2020-02-24.
Practice Location & Contact Primary Location
1041 S Orange Ave
Newark, NJ 071061716
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Newark, NJ
Practicing in Newark, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 24, 2020
NPI status registered as active in NPPES database
Registered at 1041 S ORANGE AVE, NEWARK, NJ 071061716 (Tel: 9733757112)
Registered at 1041 S ORANGE AVE, NEWARK, NJ 071061716 (Tel: 9733757112)
Recorded as CHARLES CARSON, M.D.
Specialist (License #37995 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
1041 S Orange Ave
Newark, NJ 071061716
Phone: 9733757112
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