Individual provider Active NPI

Patricia Denise Caridad, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1720337769
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
658261 Issued in NY
Practice address
218 Holton Ave
218
Staten Island, NY 10309-3740
Phone
(718) 966-9418
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 658261 NY Primary

Addresses

Primary practice location

218 Holton Ave
218
Staten Island, NY 10309-3740

Mailing address

218 Holton Ave
218
Staten Island, NY 10309-3740
Phone (718) 966-9418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
658261NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1720337769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HOLTON AVE",
            "address_2": "218",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093740",
            "telephone_number": "718-966-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HOLTON AVE",
            "address_2": "218",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093740",
            "telephone_number": "718-966-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIDAD",
        "first_name": "PATRICIA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "658261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.