Yaritza Marie Caraballo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1413 Stony Brook Rd
Stony Brook, NY 11790-2214

Phone

(631) 444-0101

Fax

(631) 444-0102

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yaritza Marie Caraballo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Long Island Adolescent & Family Service,Inc

  • Health Service Clinic/Center
  • Stony Brook, NY
  • NPI 1992901722
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1861269201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "631-444-0101",
            "fax_number": "631-444-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "631-444-0101",
            "fax_number": "631-444-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "YARITZA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARITZA",
            "last_name": "CARABALLO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria del Mar Capo Martinez, M.D.
• Patricia Capobianco, FNP
• Cecelia Capozzoli, PA
• Valerie Capozzoli, CRNA
• Michael Giuseppe Caputo, DO
• Nicolae S Caraiani, M.D.
• Stefanie Crystal Cardamone, M.D.
• Louis Thomas Cardi
• Cerise Carey
• Christina N Carey

• Case Manager/Care Coordinator in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.