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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03070826 | Medicaid | NY |
Other providers in Southbury, CT
- Megan Elizabeth Canfield
- Anthony Martin Carbonella IV
- Caramarie Carboni
- Cardiovascular Specialists of Southbury LLC
- Margaret Carey
- Amber Carlbert
- Diane M Carlson
- Robert Carr
- Joseph Caruso
- Denise McDonald Casavant
All providers in Southbury, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.