Individual provider Active NPI

Ernest S Caruso Jr., DC

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1528066933
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7975 Issued in FL
Practice address
3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657
Phone
(561) 447-2228
Fax
(561) 447-2230
NPI assigned
Jul 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7975 FL Primary

Addresses

Primary practice location

3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657

Mailing address

3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657
Phone (561) 447-2228

Other identifiers 1

IdentifierTypeStateIssuer
381811000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000349 FL Practitioner - Chiropractic 8820054133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3350 NW 2ND Ave
Suite A24
Boca Raton, FL 33431-6609
Phone (561) 447-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest S. Caruso, DC, PA Chiropractor CurrentSince Aug 6, 2004 Accepting new patients

Locations

3350 NW 2nd Ave
Ste A24
Boca Raton, FL 33431
Phone (561) 447-2228

3350 NW Boca Raton Blvd
Ste A24
Boca Raton, FL 33431
Phone (561) 447-2228

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1528066933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW BOCA RATON BLVD",
            "address_2": "SUITE A24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316657",
            "telephone_number": "561-447-2228",
            "fax_number": "561-447-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW BOCA RATON BLVD",
            "address_2": "SUITE A24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316657",
            "telephone_number": "561-447-2228",
            "fax_number": "561-447-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "ERNEST",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381811000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.