NPIMap

Individual provider Active NPI

Antonio Caracta, MD

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1508927013
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11330 Issued in NY
Practice address
491 Bard Ave
Staten Island, NY 10310-2103
Phone
(718) 727-1590
Fax
(718) 727-9395
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11330 NY Primary

Addresses

Primary practice location

491 Bard Ave
Staten Island, NY 10310-2103

Mailing address

491 Bard Ave
Staten Island, NY 10310-2103
Phone (718) 727-1590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110429000002 NY Practitioner - Cardiovascular Disease (Cardiology) 8628253028 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

491 Bard Ave
Staten Island, NY 10310-2103
Phone (718) 727-1590

Hospital & facility affiliations

  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11330NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Nov 1, 2016 Accepting new patients
Amboy Medical Practice PC CurrentSince Nov 1, 2016 Accepting new patients
Cambridge Nephrology PLLC PastSince May 2, 2011 Accepting new patients

Locations

1058 Forest Ave
Staten Island, NY 10310
Phone (718) 818-1058

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1508927013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102103",
            "telephone_number": "718-727-1590",
            "fax_number": "718-727-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102103",
            "telephone_number": "718-727-1590",
            "fax_number": "718-727-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACTA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "11330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.