Active NPI
Paul John Caro, MD
- Family Medicine Physician
- Derby, NY
National Provider Identifier
1851399000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 180738
- Practice address
- 6970 Erie Road Route 5
Suite a
Derby, NY 14047-9592 - Phone
- (716) 947-9147
- Fax
- (716) 947-5175
- NPI assigned
- Jul 12, 2005
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 180738 | NY | Primary |
Addresses
Primary practice location
6970 Erie Road Route 5
Suite a
Derby, NY 14047-9592
Mailing address
6970 Erie Rd Route 5
Suite a
Derby, NY 14047-9592
Phone (716) 947-9147
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01292391 | Medicaid | NY | |
| 000511097004 | Other | NY | BCBS |
| 0106818 | Other | NY | INDEPENDENT HEALTH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J Caro MD | Family Medicine | Past | Accepting new patients |
| Pain Management and Headache Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Buffalo, NY
- NPI 1447351259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1851399000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6970 ERIE RD ROUTE 5",
"address_2": "SUITE A",
"city": "DERBY",
"state": "NY",
"postal_code": "140479592",
"telephone_number": "716-947-9147",
"fax_number": "716-947-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 ERIE ROAD ROUTE 5",
"address_2": "SUITE A",
"city": "DERBY",
"state": "NY",
"postal_code": "140479592",
"telephone_number": "716-947-9147",
"fax_number": "716-947-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARO",
"first_name": "PAUL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "180738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01292391",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000511097004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0106818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.