DR. CAROL ANNE ALLEN MD
NPI 1104879220
Emergency Medicine in Jersey City, NJ
NPI Status: Active since May 18, 2006
Contact Information
355 GRAND ST
DEPARTMENT OF EMERGENCY MEDICINE
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 915-2218
- Individual
- Female
- Emergency Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About CAROL ALLEN
This page provides the complete NPI Profile along with additional information for Carol Allen, a provider established in Jersey City, New Jersey with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1104879220 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number MA74461 (NJ). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1104879220
- Provider Name
- DR. CAROL ANNE ALLEN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 355 GRAND ST DEPARTMENT OF EMERGENCY MEDICINE JERSEY CITY, NJ 07302
- Location Phone
- (201) 915-2218
- Mailing Address
- 610 NEWARK ST #11A HOBOKEN, NJ 07030
- Mailing Phone
- (310) 283-1647
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA74461
- License State
- NJ
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare Participation & PECOS Enrollment Status
Carol Allen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 49 times for 49 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 394 times for 374 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 65 times for 65 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 24 times for 24 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 78 times for 77 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07302 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 7 | 9 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 7 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 7 + 1 + 8 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104879220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639175367 | DR. SUHAIL N ALSHEIKH MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2000 |
| 1225030604 | DR. GUNAWAN KARTIKA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2485 |
| 1154323533 | DR. CALVIN L STRAND MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2485 |
| 1891787735 | DR. SHAILA NAYAK MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2485 |
| 1336131283 | DR. USHA L PAI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2485 |
| 1770575623 | LIBERTY DIAGNOSTIC PATHOLOGY PA Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2485 |
| 1396724555 | ALEXANDER GAK MD Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2405 |
| 1154370393 | LIBERTY ANESTHESIA ASSOCIATES LLC Organization | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1326098195 | KAREN C. LUSTIG D.O. Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2405 |
| 1134179732 | DONNA-VIVIAN V DE BELEN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2405 |
| 1053350421 | JERSEY CITY MEDICAL CENTER Organization | Emergency Medicine | 355 GRAND ST 1W028 JERSEY CITY, NJ 07302 (201) 770-3709 |
| 1184660581 | ZENAIDA DEOCERA MD Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1336175090 | TITO AVENTURADO MD Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1912933417 | FRANCIS ASAMOAH MD Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1538190889 | ALFREDO LUCAS CRNA Individual | Nurse Anesthetist, Certified Registered | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1730113143 | JAIME GONZALEZ MD Individual | Anesthesiology | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 871-6073 |
| 1770690208 | PATRICIA M KACZOROWSKI PA C Individual | Physician Assistant | 355 GRAND ST EMERGENCY DEPARTMENT-JERSEY CITY MEDICAL CENTER JERSEY CITY, NJ 07302 (201) 915-2200 |
| 1912004508 | MONA JAGGI M.D. Individual | Emergency Medicine | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2218 |
| 1578660163 | VICTORIA CESPEDES M.D. Individual | Emergency Medicine | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2218 |
| 1477650067 | ARIELLA GLASER M.D. Individual | Emergency Medicine | 355 GRAND ST JERSEY CITY, NJ 07302 (201) 915-2224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104879220, enumerated in the NPI registry as an "individual" on May 18, 2006
The provider is located at 355 Grand St Department Of Emergency Medicine Jersey City, Nj 07302 and the phone number is (201) 915-2218
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on May 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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