Carl Mark Cacciotti, AGNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F309865 Issued in NY

Practice address

81 Sweetmilk Creek Rd
Troy, NY 12180-9100

Phone

(518) 330-3396

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1063013415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SWEETMILK CREEK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121809100",
            "telephone_number": "518-330-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SWEETMILK CREEK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121809100",
            "telephone_number": "518-330-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIOTTI",
        "first_name": "CARL",
        "middle_name": "MARK",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F309865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Buyce
• Megan Buyck, M.S. T.O.D
• Stephanie Bydairk, LMHC
• Hendy Bynoe
• Thomas P Cacciola, MD
• Madeline Cafiero, FNP
• Courtney Rose Caimano, PHARMD
• Erin Caldwell, M.S. CCC-SLP
• Lisa Lindsay Callahan, CCC-SLP
• Janet Campanella

• Gerontology Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.