Individual provider Active NPI

Damaris Caraballo, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1245708809
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00841100 Issued in NJ
Practice address
926 Main St
Nashville, TN 37206-3614
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00841100 NJ Primary

Addresses

Primary practice location

926 Main St
Nashville, TN 37206-3614

Mailing address

149 W 1St St
Bayonne, NJ 07002-5214
Phone (201) 660-3238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address damaris.caraballo@237407481626628.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190128000207 NJ Practitioner - Nurse Practitioner 2860739000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince Aug 18, 2021 Accepting new patients

Locations

519 Broadway
Ste 3100
Bayonne, NJ 07002
Phone (551) 214-3500

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

206 Bergen Ave
Ste 208
Kearny, NJ 07032
Phone (201) 948-5879

206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: damaris.caraballo@237407481626628.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1245708809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W 1ST ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025214",
            "telephone_number": "201-660-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "DAMARIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00841100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damaris.caraballo@237407481626628.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "CareBridge Medical Group-Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "926 Main St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372063614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.