Individual provider Active NPI

Cristina Rocha Caridi, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1508353780
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
311227 Issued in NY
Practice address
622 Grand St
Brooklyn, NY 11211-4802
Phone
(212) 226-7666
Fax
(212) 202-7988
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 311227 NY Primary

Addresses

Primary practice location

622 Grand St
Brooklyn, NY 11211-4802

Mailing address

1407 W 6TH St
Brooklyn, NY 11204-4802
Phone (718) 256-1057

Other practice location 1

1407 W 6th St
Brooklyn, NY 11204-4802
Phone (718) 256-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222000390 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7214276054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311227NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Tribeca Pediatrics Pediatrics PastSince Jul 31, 2023 Accepting new patients
Tribeca Pediatrics, PLLC PastSince Jul 31, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cristinacaridi@mai.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1508353780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-256-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114802",
            "telephone_number": "212-226-7666",
            "fax_number": "212-202-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112044802",
            "country_code": "US",
            "telephone_number": "718-256-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIDI",
        "first_name": "CRISTINA",
        "middle_name": "ROCHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "311227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.