Edmund Mario Caruso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI15698 Issued in NJ

Practice address

2275 Kennedy Blvd
Jersey City, NJ 07304-1527

Phone

(201) 434-3819

Fax

(201) 434-3865

NPI assigned

Dec 11, 2008

Last updated

Dec 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1811132442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041527",
            "telephone_number": "201-434-3819",
            "fax_number": "201-434-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041527",
            "telephone_number": "201-434-3819",
            "fax_number": "201-434-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "EDMUND",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniyah Carter
• Cheryl Ann Carter, M.D.
• Timothy Brian Carter, DMD
• Lynne Cartoccio
• Christine Caruso
• Carver Medical Group
• Casia Pediatrics LLC
• Jeffrey Paul Casia, M.D.
• Melissa Casielles, RN
• Angela Ly'Nece Cassadime

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.