Individual provider Active NPI

Jerome Abellana Cariaso, MD

  • Pediatrics Physician
  • Southbury, CT
National Provider Identifier
1477570323
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
215615 Issued in NY
Practice address
141 Rocky Mountain Rd
Southbury, CT 06488-2727
Phone
(646) 481-6488
Fax
(579) 977-1023
NPI assigned
Jul 16, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 215615 NY Primary

Addresses

Primary practice location

141 Rocky Mountain Rd
Southbury, CT 06488-2727

Mailing address

141 Rocky Mountain Rd
Southbury, CT 06488-2727
Phone (646) 481-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Pediatrics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1477570323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ROCKY MOUNTAIN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882727",
            "telephone_number": "646-481-6488",
            "fax_number": "579-977-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 ROCKY MOUNTAIN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882727",
            "telephone_number": "646-481-6488",
            "fax_number": "579-977-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIASO",
        "first_name": "JEROME",
        "middle_name": "ABELLANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.