Jack Carleton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

128487 Issued in NY

Practice address

600 Stony Brook CT
Newburgh, NY 12550-6524

Phone

(845) 391-8557

Fax

(845) 608-8270

NPI assigned

Aug 25, 2005

Last updated

Feb 21, 2022By 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

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Integrated Medical Healthcare Services PLLC

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1861020810
  Authorized official Same address or phone
• Peak Physical Therapy Pine Bush PLLC

  • Clinic/Center
  • Pine Bush, NY
  • NPI 1144329194
  NPD
• Adirondack Emergency Medicine, PC

  • Emergency Medicine Physician
  • Ellenville, NY
  • NPI 1174572978
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1811980873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RED MILLS RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893220",
            "telephone_number": "845-744-9105",
            "fax_number": "845-744-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506524",
            "telephone_number": "845-391-8557",
            "fax_number": "845-608-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Red Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125893220",
            "country_code": "US",
            "telephone_number": "845-744-9105",
            "fax_number": "845-744-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLETON",
        "first_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00874864",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jack.carletonmd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Card
• Cardiology Consultants of Westchester, PC
• Susan Cardona, MD
• Caring SLP, OT, PT, Psychology
• Caring SLP, Psychology, OT & Nutrition Services, PLLC
• Carol Ann Malizia, DC PC (Chiropractic Health Center)
• Hemlata Janelle Carr, N.P.
• Lara Carrigan
• Frances Carton, MS,CCC-SLP
• Marisol Yvette Carvajal

• Internal Medicine Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.