Individual provider Active NPI

Michael A Caruso, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • White Plains, NY
National Provider Identifier
1043236805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
045900-1 Issued in NY
Practice address
170 Maple Ave
Suite 504
White Plains, NY 10601-4710
Phone
(914) 761-4567
Fax
(914) 761-1837
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 045900-1 NY Primary

Addresses

Primary practice location

170 Maple Ave
Suite 504
White Plains, NY 10601-4710

Mailing address

170 Maple Ave
Suite 504
White Plains, NY 10601-4710
Phone (914) 761-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 13, 2014 through Feb 13, 2028

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

170 Maple Ave
White Plains, NY 10601-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045900-1NYMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043236805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE",
            "address_2": "SUITE 504",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014710",
            "telephone_number": "914-761-4567",
            "fax_number": "914-761-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE",
            "address_2": "SUITE 504",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014710",
            "telephone_number": "914-761-4567",
            "fax_number": "914-761-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045900-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.