Jose L Caraballo

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

250353096 Issued in NY

Practice address

39 White St
Fredonia, NY 14063-1817

Phone

(716) 467-1541

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1831796697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WHITE ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631817",
            "telephone_number": "716-467-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WHITE ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631817",
            "telephone_number": "716-467-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "JOSE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "250353096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Henry Brown Jr., M.A.,CCC-SLP
• Dawn Marie Buczkowski, PA-C
• Thy A Bui, D.M.D.
• Dianne Kathleen Buyer, M.S.
• Zandra Campese
• Dylan L Cassidy, PHARMD
• Darlene Anne Charles, COTA/L
• Michelle Christian, LMHC
• Juliana Maria Consoli, LMHC
• Felixberto Cosico, M.D.

• Non-emergency Medical Transport (VAN) in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.