DR. JOHN RAYMOND CARROLL D.O.
NPI 1417151440
Student in an Organized Health Care Education/Training Program in Stratford, NJ

Q: What is John Carroll's NPI number?

The NPI number for John Carroll is 1417151440. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is John Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Carroll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2007

42 E. LAUREL RD, UDP AT UMDNJ-SOM, DEPT. OF FAMILY MEDICINE, RM 2100, STRATFORD, NJ 08084(856) 566-6330(856) 566-6360 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John Raymond Carroll D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN RAYMOND CARROLL D.O. (NPI 1417151440) is an individual student in an organized health care education/training program in Stratford, New Jersey and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1417151440

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JOHN RAYMOND CARROLLCredential: D.O.

Location Address42 E. LAUREL RD, UDP AT UMDNJ-SOM, DEPT. OF FAMILY MEDICINE, RM 2100Stratford, NJ 08084

Mailing Address102 Ardmore Ave Apt 1Ardmore, PA 19003-1325 · (773) 732-5288

Phone(856) 566-6330

Fax(856) 566-6360

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417151440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

42 E. LAUREL RD, UDP AT UMDNJ-SOM, Stratford, NJ 08084

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Carroll's NPI number?

The NPI number for John Carroll is 1417151440. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is John Carroll located?

John Carroll practices at 42 E. Laurel Rd, Udp At Umdnj-Som Dept. Of Family Medicine, Rm 2100, Stratford, NJ 08084. The listed phone number is (856) 566-6330.

What is John Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Carroll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.