Christopher Michael Carroll, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

489 Atlantic Ave
Brooklyn, NY 11217-2985

Phone

(718) 332-4747

NPI assigned

Jun 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W Medical Care PCGroup PAC ID 3072898345, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• W Medical Care PC

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1659819522
  Medicare reassignment Care Compare group
• Atlantic W Medical Care PLLC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1457968299
  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1417632183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SECOND AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157725",
            "telephone_number": "203-814-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172985",
            "telephone_number": "718-332-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3423 Guider Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355271",
            "country_code": "US",
            "telephone_number": "718-332-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Slosson Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103142532",
            "country_code": "US",
            "telephone_number": "718-332-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "554 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112157461",
            "country_code": "US",
            "telephone_number": "718-332-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Gardens Dental Associates, P.C.
• Carroll Gardens Orthodontics, PLLC
• Carroll Gardens Podiatry P.C.
• Brianne Carroll
• Caitrin D Carroll
• Jaycee Nicole Carroll
• Paul Macgregor Carroll, PH.D.
• Samantha Carroll, PA
• Sarah K Carroll, RN, BSN
• Nicole Carrozza

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.

Verify at the official NPI Registry.