Caduceus Medical Care LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

125730 Issued in NY

Legal business name

CADUCEUS MEDICAL CARE LLC

Practice address

4121 Greenpoint Ave
Sunnyside, NY 11104-3007

Phone

(718) 937-2055

NPI assigned

Sep 4, 2007

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avelino S.B. Rosales, M.DNPI 1558396440

Title

Owner

Phone

(718) 937-2055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avelino S Rosales, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rockaway Beach, NY
  • NPI 1558396440
  NPD (past) Authorized official
• Expedito H Castillo, M.D.

  • Internal Medicine Physician
  • Sunnyside, NY
  • NPI 1528153061
  NPD (past)
• Nenita Jusayan, MD

  • Internal Medicine Physician
  • Sunnyside, NY
  • NPI 1720093156
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1437343290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043007",
            "telephone_number": "718-937-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043007",
            "telephone_number": "718-937-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "AVELINO",
        "authorized_official_middle_name": "S.B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-937-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "125730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Glenn Bowman, LCSW
• Laura Jean Brennan, NP
• Laura Buziashvilli
• C Clearly Inc
• Cactus Pear Services Inc
• Maria Gabrielle Caguete
• Paulina Alicia Campbell-Richards
• Diane Capasella, SLP
• Florenta Caprer
• Carla Lucacel MD PC (Sunnyside Pediatrics)

• Specialist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.