Individual provider Active NPI

Jesus M Caraballo

  • Sonography Specialist/Technologist Cardiovascular
  • Perth Amboy, NJ
National Provider Identifier
1083848022
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Practice address
763 Convery Blvd
Route 35 South Suite L1
Perth Amboy, NJ 08861-2525
Phone
(732) 331-3400
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X NU Primary

Addresses

Primary practice location

763 Convery Blvd
Route 35 South Suite L1
Perth Amboy, NJ 08861-2525

Mailing address

763 Convery Blvd
Route 35 South Suite L1
Perth Amboy, NJ 08861-2525
Phone (732) 331-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Imaging Solutions, LLC Sonography Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1083848022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 CONVERY BLVD",
            "address_2": "ROUTE 35 SOUTH SUITE L1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612525",
            "telephone_number": "732-331-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CONVERY BLVD",
            "address_2": "ROUTE 35 SOUTH SUITE L1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612525",
            "telephone_number": "732-331-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "JESUS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.