Jacqueline Carreno, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

226618-1 Issued in NY

Practice address

29 Wadsworth Ave Suite 1a
New York, NY 10033-5735

Phone

(917) 512-9774

Fax

(212) 928-2848

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHBBD/Endpoint/BCHBBD

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

• Taveras MD, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1609993542
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831266535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337011",
            "telephone_number": "917-512-9774",
            "fax_number": "212-928-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335735",
            "telephone_number": "917-512-9774",
            "fax_number": "212-928-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRENO",
        "first_name": "JACQUELINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226618-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "226618-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adina Carrel, DMD
• Tracy Carrella, NP
• Angela Lisa Carrelli
• Barbara Ann Carren-Le Sauter, LCSW
• Isabelle Carren-Le Sauter, MS RD
• Leslie Yuliana Carreno
• Ricardo Ivan Carreon, DDS
• Darlene M Carrera, LCSW
• Elvera Carrera
• Lauren Carrere, MS, CCC-SLP

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.