Individual provider Active NPI

Ralph Joseph Carotenuto, MD

  • Geriatric Psychiatry Physician
  • Albany, NY
National Provider Identifier
1154463511
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
113009 Issued in NY
Practice address
157 South Lake Ave
Albany, NY 12208
Phone
(518) 489-8500
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 113009 NY
Geriatric Psychiatry Physician 2084P0805X 113009 NY Primary
General Practice Physician 208D00000X 113009 NY

Addresses

Primary practice location

157 South Lake Ave
Albany, NY 12208

Mailing address

157 South Lake Ave
Albany, NY 12208
Phone (518) 489-8500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000137 NY Practitioner - Addiction MedicinePractitioner - Family PracticePractitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Geriatric MedicinePractitioner - Pain ManagementPractitioner - Neuropsychiatry 0143487512 Practice locations: Albany, NY; Slingerlands, NY

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice, Geriatric Medicine, Geriatric Psychiatry, Neuropsychiatry
Education
Albany Medical College of Union University, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

157 S Lake Ave
Albany, NY 12208-3257
Phone (518) 489-8500

9000 Dunhill CT
Unit 9101
Slingerlands, NY 12159-9455

9101 Dunhill CT
Unit 9101
Slingerlands, NY 12159-9455
Phone (518) 489-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1154463511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SOUTH LAKE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-489-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SOUTH LAKE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-489-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTENUTO",
        "first_name": "RALPH",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "113009",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "113009",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "113009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.