Individual provider Active NPI

Vincent Giro Caruso, D.C.

  • Chiropractor
  • Bloomfield, NJ
National Provider Identifier
1073686291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00579100 Issued in NJ
Practice address
27 West St
Suite 2F
Bloomfield, NJ 07003-4938
Phone
(973) 489-7484
Fax
(973) 680-0079
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

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
Chiropractor 111N00000X 38MC00579100 NJ Primary

Addresses

Primary practice location

27 West St
Suite 2F
Bloomfield, NJ 07003-4938

Mailing address

27 West St
Suite 2F
Bloomfield, NJ 07003-4938
Phone (973) 489-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000009 NJ Practitioner - Chiropractic 3072521897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 Little Falls Rd
Fairfield, NJ 07004-2132
Phone (973) 227-2170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Vincent Caruso Jr LLC Chiropractor CurrentSince May 1, 2001 Accepting new patients

Locations

27 West St
Ste 2F
Bloomfield, NJ 07003
Phone (973) 489-7484

124 Little Falls Rd
Fairfield, NJ 07004
Phone (201) 692-8255

124 Little Falls Rd
Ste B
Fairfield, NJ 07004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073686291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WEST ST",
            "address_2": "SUITE 2F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "973-489-7484",
            "fax_number": "973-680-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WEST ST",
            "address_2": "SUITE 2F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "973-489-7484",
            "fax_number": "973-680-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "VINCENT",
        "middle_name": "GIRO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00579100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.