Jerome a. Cariaso, M.D. PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

215615 Issued in NY

Legal business name

JEROME A. CARIASO, M.D. PLLC

Doing business as

North Manhattan Pediatrics

Practice address

2311 Adam Clayton Powell Jr Blvd
Front a
New York, NY 10030-2663

Phone

(212) 234-1112

Fax

(212) 234-1997

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Abellana Cariaso, M.D.

Title

Sole Member

Phone

(212) 234-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Manhattan Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1134368558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ADAM CLAYTON POWELL JR BLVD",
            "address_2": "FRONT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302663",
            "telephone_number": "212-234-1112",
            "fax_number": "212-234-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ADAM CLAYTON POWELL JR BLVD",
            "address_2": "FRONT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302663",
            "telephone_number": "212-234-1112",
            "fax_number": "212-234-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME A. CARIASO, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "CARIASO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "ABELLANA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "212-234-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03070826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Manhattan Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Rafael Jerez, M.D.
• Ury I Jerez, LMSW
• Antoine Jeri, MD
• Sherry M Jerimie, LCSW
• Melissa Ann Jermann, PHD
• Jerome D. Waye, M.D., P.C.
• Jerome H Siegel MDPC
• Jerome H Siegel MDPC
• Jerome Herman DDS Ny, P.C.
• Jerome L. Shupack, MD PC

• 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 Jun 15, 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.