Organization Active NPI

Caraballo Cares Advanced Practice Services LLC

  • Family Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1093306201
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CARABALLO CARES ADVANCED PRACTICE SERVICES LLC
Practice address
2720 Route 42 Ste 215
Sicklerville, NJ 08081-4001
Phone
(856) 535-2040
NPI assigned
Jan 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Authorized official

Name
Valerie Caraballo, NP
Title
Ceo, Owner
Phone
(215) 432-4218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2720 Route 42 Ste 215
Sicklerville, NJ 08081-4001

Mailing address

2720 Route 42 Ste 215
Sicklerville, NJ 08081-4001
Phone (856) 535-2040

National Provider Directory

National Provider Directory

Locations

2720 Route 42
Ste 215
Sicklerville, NJ 08081
Phone (856) 535-2040

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1093306201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 ROUTE 42 STE 215",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814001",
            "telephone_number": "856-535-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 ROUTE 42 STE 215",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814001",
            "telephone_number": "856-535-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARABALLO CARES ADVANCED PRACTICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "215-432-4218",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.