Kathleen M Caruso, PA
Individual provider Active NPI Physician Assistant · Newton Centre, MA
NPI 1023081981 · NPPES record last updated May 6, 2015
Key facts
- NPI
- 1023081981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 33 (MA)
- Practice address
- 1400 Centre Street
Suite 203
Newton Centre, MA 02459 - Phone
- (617) 244-9929
- Fax
- (617) 244-9935
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Centre Kids, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 33 | MA | Yes |
| Medical Physician Assistant | 363AM0700X | 33 | MA |
Addresses
Primary practice location
1400 Centre Street
Suite 203
Newton Centre, MA 02459
Mailing address
1400 Centre Street
Suite 203
Newton Centre, MA 02459
Phone (617) 244-9929
Other providers in Newton Centre, MA
- Brian H. Miller
- Lawrence J Brown
- Bubble Children'S Dentistry and Orthodontics
- Amy Cantor
- Alivia Grace Carlton
- Center for Advanced Dental Care
- Chatterboxes, LLC
- John E Churchill
- City of Newton
- Ann Marie Clifford
All providers in Newton Centre, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.