Active NPI
Kerry Cao, MD
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 317686
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9000
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 317686 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 317686 | NY | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
101 Nicolls Rd
Stony Brook, NY 11794-8815
Other practice location 1
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 689-8333
Other practice location 2
Dept Of Medicine Hsc Level 16 Suny Stony Brook Hospital
Stony Brook, NY 11794-0001
Phone (631) 444-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albany Medical College of Union University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 78.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317686 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Associates of the Delaware Valley,P a | Cardiovascular Disease | Current | Accepting new patients |
Locations
120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215
210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Haddon Heights, NJ
- NPI 1366495632
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1376004093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9000"
}
],
"practiceLocations": [
{
"address_1": "101 Nicolls Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-689-8333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Dept Of Medicine Hsc Level 16 Suny Stony Brook Hospital",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2058",
"fax_number": "631-444-2493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAO",
"first_name": "KERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "317686",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "317686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.