Individual provider Active NPI

John Joseph Caruso Jr., M.D.

  • Anesthesiology Physician
  • Norwalk, CT
National Provider Identifier
1801126776
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
254854 Issued in NY
Practice address
160 Water St
Norwalk, CT 06854-3739
Phone
(203) 838-3210
NPI assigned
Dec 28, 2009
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 254854 NY Primary

Addresses

Primary practice location

160 Water St
Norwalk, CT 06854-3739

Mailing address

160 Water St
Norwalk, CT 06854-3739
Phone (203) 838-3210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000511 NY Practitioner - Anesthesiology 2769667328 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254854NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Gi, LLC CurrentSince Sep 8, 2020 Accepting new patients
Kips Bay Anesthesia PC Anesthesiology CurrentSince Oct 11, 2023 Accepting new patients
Eastside Alliance Medical Associates, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Kips Bay Endoscopy Center, LLC CurrentSince Jul 5, 2021 Accepting new patients
Hypnoscope Medical, PC Past Accepting new patients
Nuvance Health Medical Practice PC PastSince Sep 8, 2020 Accepting new patients

Locations

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

667 Stoneleigh Ave
Ste 201
Carmel, NY 10512
Phone (845) 278-5223

667 Stoneleigh Ave
Ste 204
Carmel, NY 10512
Phone (845) 278-5223

250 Park Ave S
Fl 8
New York, NY 10003
Phone (212) 979-3237

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1801126776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543739",
            "telephone_number": "203-838-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543739",
            "telephone_number": "203-838-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "254854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.