Deivi Caraballo

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

392 Stanford St FL 1
Perth Amboy, NJ 08861-4032

Phone

(732) 877-6302

NPI assigned

Aug 18, 2023

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

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1114700457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 STANFORD ST FL 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614032",
            "telephone_number": "732-877-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 STANFORD ST FL 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614032",
            "telephone_number": "732-877-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "DEIVI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Camp, MS. CCC SLP
• Jillian Leah Campion, LSW
• Canelaville Health Care
• Helen Carabajal
• Jeremias Carabajal
• Jesus M Caraballo
• Alexandra C Caracitas, DO
• Daniel James Cardellichio Jr., DC
• Cardiology Professional Services at Raritan Bay Inc
• Cardiovascular Imaging Solutions, LLC

• All providers in Perth Amboy, NJ
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.