Organization Active NPI

Dr Vincent Caruso Jr LLC

  • Chiropractor
  • Bloomfield, NJ
National Provider Identifier
1487981643
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR VINCENT CARUSO JR LLC
Practice address
27 West St
Suite 2F
Bloomfield, NJ 07003-4938
Phone
(973) 489-7484
Fax
(973) 680-0079
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Vincent G. Caruso Jr., D. C.NPI 1073686291
Title
Owner/President
Phone
(973) 489-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NJ Primary

Addresses

Primary practice location

27 West St
Suite 2F
Bloomfield, NJ 07003-4938

Mailing address

27 West St
Suite 2F
Bloomfield, NJ 07003-4938
Phone (973) 489-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000865 NJ Part B Supplier - Clinic/Group Practice 9537177357 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, NJ; Ledgewood, NJ

National Provider Directory

National Provider Directory

Locations

27 West St
Ste 2F
Bloomfield, NJ 07003
Phone (973) 489-7484

124 Little Falls Rd
Fairfield, NJ 07004
Phone (201) 692-8255

1070 Route 46
Ste 6
Ledgewood, NJ 07852
Phone (862) 219-5458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1487981643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WEST ST",
            "address_2": "SUITE 2F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "973-489-7484",
            "fax_number": "973-680-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WEST ST",
            "address_2": "SUITE 2F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "973-489-7484",
            "fax_number": "973-680-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VINCENT CARUSO JR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-489-7484",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.