Active NPI
Caroline Londa Arevalo
- Medical Physician Assistant
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 471 Barnum Ave
Bridgeport, CT 06608-2409 - Phone
- (203) 333-3030
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
471 Barnum Ave
Bridgeport, CT 06608-2409
Mailing address
24 Adams Ave Apt 5
Stamford, CT 06902-3732
Phone (203) 615-8354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 576-3885
5 Grace Church St
Port Chester, NY 10573-4911
Phone (914) 632-2737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
2 Church St
Ossining, NY 10562
Phone (914) 502-1415
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Federally Qualified Health Center (FQHC)
- Saugerties, NY
- NPI 1780166645
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1649015579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ADAMS AVE APT 5",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023732",
"telephone_number": "203-615-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 BARNUM AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066082409",
"telephone_number": "203-333-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDA AREVALO",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.