Eduardo Caballero Cacas, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

170501 Issued in NY

Practice address

413 E 120TH St
New York, NY 10035-3602

Phone

(917) 492-6950

NPI assigned

Mar 19, 2012

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1083989487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WALNUT AVE",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109281612",
            "telephone_number": "845-446-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E 120TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353602",
            "telephone_number": "917-492-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACAS",
        "first_name": "EDUARDO",
        "middle_name": "CABALLERO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "170501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesco Cabrucci, MD
• Aleta Cabuhat, N.P.
• Abigail Bagara Cabusas
• Lawrence Disini Cabusora, M.D.
• Adrienne Gabrielle Cacanindin
• Adrienne Emily Cacavio, NP
• Elise Anne Caccappolo, PHD.
• Elizabeth Caccavale, LAT, ATC
• Kenneth Lee Caccavale, M.D.
• Teresa Ann Vanwort Cacchione, MS, CGC

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.