Individual provider Active NPI

Joseph Caballero, M.D.

  • Anesthesiology Physician
  • Stony Brook, NY
National Provider Identifier
1073990974
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
297246 Issued in NY
Practice address
100 Nicolls Rd
Dept of Anesthesiology Health Sciences Center L4 #060
Stony Brook, NY 11794-8480
Phone
(631) 444-2975
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 297246 NY Primary

Addresses

Primary practice location

100 Nicolls Rd
Dept of Anesthesiology Health Sciences Center L4 #060
Stony Brook, NY 11794-8480

Mailing address

122 Southern Blvd
Nesconset, NY 11767-1740
Phone (516) 329-3791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129002209 NY Practitioner - Anesthesiology 5395159511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297246NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology Current Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
New York University Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Stony Brook Radiology, University Faculty Practice Corporation PastSince Jul 26, 2010 Accepting new patients
New York Spine & Brain Surgery, University Faculty Practice Corporatio Past Accepting new patients

Locations

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

Interoperability endpoints

  • Direct secure messaging: jcaballero504377@nyumc.direct-ci.com

Organizations & group practices 6

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1073990974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SOUTHERN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671740",
            "telephone_number": "516-329-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS RD",
            "address_2": "DEPT OF ANESTHESIOLOGY HEALTH SCIENCES CENTER L4 #060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "297246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.