Organization Active NPI

Caravello Medical Wellness Ny PLLC

  • Family Medicine Physician
  • Bellmore, NY
National Provider Identifier
1669275012
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARAVELLO MEDICAL WELLNESS NY PLLC
Practice address
2154 Newbridge Rd
Bellmore, NY 11710-2239
Phone
(516) 456-5617
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Ms. Lisa Caracappa
Title
Management Group
Phone
(516) 456-5617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2154 Newbridge Rd
Bellmore, NY 11710-2239

Mailing address

2154 Newbridge Rd
Bellmore, NY 11710-2239
Phone (516) 456-5617

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2332111Caravello Medical Wellness Ny, PLLC2154 Newbridge Road, Suite C, North Bellmore, NY 11710Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1669275012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 NEWBRIDGE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117102239",
            "telephone_number": "516-456-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 NEWBRIDGE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117102239",
            "telephone_number": "516-456-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARAVELLO MEDICAL WELLNESS NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "CARACAPPA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGEMENT GROUP",
        "authorized_official_telephone_number": "516-456-5617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.