Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730133935 Deactivated / Inactive NPI Female Practitioner

Dr. Imelda A Carin , MD

General Practice • Brooklyn, NY

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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. Imelda Carin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2006
NPI Deactivation Date October 25, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Imelda Carin, MD was a registered General Practice practicing in Brooklyn, NY. Throughout an active medical career spanning 11 years, Dr. Carin provided care at the practice location at 302 BROADWAY until profile deactivation on 2017-10-25.

Practice Location & Contact Primary Location

Practice Address

302 Broadway

Brooklyn, NY 112117308

Telephone 7183840010
Fax 7185994632
Associated Practice Facility / Clinic
🏢 Sdf Pharmacy, Inc. Facility NPI 1043292667

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
93 Specialists

Practicing in Brooklyn, NY (818 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 149173-1

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mohammad Billah , BDS

Dentist - Dental Public Health

NPI 1437132040
NPI 1770747156

Doctor of Pharmacy (Pharm.D.)

NPI 1861417024

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active May 01, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 01, 2014

Registered at 302 BROADWAY, BROOKLYN, NY 112117308 (Tel: 7183840010)

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Updated Business Mailing Address May 01, 2014

Registered at 40 RIVER DR, LAKE HIAWATHA, NJ 070342807 (Tel: 9732991168)

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Provider Name / Credentials Updated May 01, 2014

Recorded as IMELDA CARIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2014

General Practice (License #149173-1 in NY)

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Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730133935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: May 01, 2014
Deactivation Date: October 25, 2017

Mailing Address

40 River Dr

Lake Hiawatha, NJ 070342807

Phone: 9732991168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.