Steven Carroll, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345311 Issued in NY

Practice address

3 Demarest Mill Rd
West Nyack, NY 10994-1503

Phone

(917) 847-3077

NPI assigned

Jan 26, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NP Concierge, LLC

  • Primary Care Clinic/Center
  • West Nyack, NY
  • NPI 1356960306
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1013471796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DEMAREST MILL RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941503",
            "telephone_number": "917-847-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DEMAREST MILL RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941503",
            "telephone_number": "917-847-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEVEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01009900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Cargulia
• Michael Lawrence Carlin, MD
• Ann Marie Carlyle, R.N.B.S.
• Taylor Carlyle, MS, RD, CDN
• Patrice Carrieri
• Kathleen Carty, MS
• Julie Catalano, RN
• Francis Ceballo, PT
• Centerock Podiatry Associates, PC
• Jessica Marie Cerillo, CCC-SLP

• Family Nurse Practitioner in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.