Jerome Abellana Cariaso, MD

Individual provider Active NPI Pediatrics Physician · Southbury, CT

NPI 1477570323 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1477570323
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
215615 (NY)
Practice address
141 Rocky Mountain Rd
Southbury, CT 06488-2727
Phone
(646) 481-6488
Fax
(579) 977-1023
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
03070826MedicaidNY

Other providers in Southbury, CT

All providers in Southbury, CT · Pediatrics Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.