Individual provider Active NPI

Marie Nicole Caragiulo, R-PA

  • Medical Physician Assistant
  • Staten Island, NY
National Provider Identifier
1811207962
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006598 Issued in NY
Practice address
176 Lovelace Ave
Staten Island, NY 10312-3208
Phone
(718) 948-6099
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006598 NY Primary

Addresses

Primary practice location

176 Lovelace Ave
Staten Island, NY 10312-3208

Mailing address

176 Lovelace Ave
Staten Island, NY 10312-3208
Phone (718) 948-6099

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

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1811207962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LOVELACE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123208",
            "telephone_number": "718-948-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LOVELACE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123208",
            "telephone_number": "718-948-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAGIULO",
        "first_name": "MARIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006598",
            "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 Oct 7, 2010; 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.