DR. CAROLINE PYLE HAMILTON
NPI 1639323686
Dentist in Jersey City, NJ

Active since November 04, 2008Opted out of Medicare · through Dec 9, 2027
1 EXCHANGE PL, SUITE 312, JERSEY CITY, NJ 07302(201) 200-0500 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Caroline Pyle Hamilton NPPES

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

DR. CAROLINE PYLE HAMILTON (NPI 1639323686) is an individual dentist in Jersey City, New Jersey, licensed in New Jersey (22D102385200) and active in the NPI registry since November 2008. She has opted out of Medicare through December 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639323686
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CAROLINE PYLE HAMILTON
Location Address1 EXCHANGE PL, SUITE 312Jersey City, NJ 07302-3920
Mailing Address1 Exchange Pl, Suite 312Jersey City, NJ 07302-3920 · (201) 200-0500
Sole ProprietorYes
Enumeration DateNovember 4, 2008
Last NPPES UpdateNovember 4, 2010
NPI 1639323686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NJ · 22D102385200
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1 EXCHANGE PL, Jersey City, NJ 07302

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Caroline Pyle Hamilton has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2015 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2015
Opt-Out In Effect ThroughDecember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1 EXCHANGE PL, SUITE 312
JERSEY CITY, NJ 07302
Dentist (General Practice)
1 EXCHANGE PL, SUITE 312
JERSEY CITY, NJ 07302
Home Health
1 EXCHANGE PL, 10TH FLOOR
JERSEY CITY, NJ 07302

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 Caroline Hamilton's NPI number?

The NPI number for Caroline Hamilton is 1639323686. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Caroline Hamilton located?

Caroline Hamilton practices at 1 Exchange Pl Suite 312, Jersey City, NJ 07302. The listed phone number is (201) 200-0500.

What is Caroline Hamilton's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Caroline Hamilton enrolled in Medicare?

No. Caroline Hamilton has opted out of Medicare through December 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Caroline Hamilton accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Caroline Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Hamilton was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.