Individual provider Active NPI

Kayla Marie Carrero, P.A.

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1134479827
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015959 Issued in NY
Practice address
69 Bond St Apt 1
Brooklyn, NY 11217-1018
Phone
(203) 435-4844
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015959 NY Primary

Addresses

Primary practice location

69 Bond St Apt 1
Brooklyn, NY 11217-1018

Mailing address

69 Bond St Apt 1
Brooklyn, NY 11217-1018
Phone (203) 435-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118000611 NY Order and Referring Only - Physician Assistant 5799907259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kac9179@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1134479827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BOND ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171018",
            "telephone_number": "203-435-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BOND ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171018",
            "telephone_number": "203-435-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERO",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.