Individual provider Active NPI

Gerard Calixijan Caraan, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1871265868
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310455 Issued in NY
Practice address
1283 York Avenue
9TH FL
New York, NY 10065
Phone
(646) 962-4463
Fax
(646) 962-0500
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310455 NY Primary

Addresses

Primary practice location

1283 York Avenue
9TH FL
New York, NY 10065

Mailing address

1036 Highland St
Baldwin, NY 11510-3622
Phone (516) 439-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310455NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jan 3, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 24, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 3, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 24, 2021 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

161 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 342-1155

525 E 68th St
#J314
New York, NY 10065
Phone (212) 746-4158

525 E 68th St
Fl 2
New York, NY 10065
Phone (212) 746-4580

525 E 68th St
Rm J314
New York, NY 10065
Phone (212) 746-4158

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Networks

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

Interoperability endpoints

  • Direct secure messaging: gec9028@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1871265868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 HIGHLAND ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103622",
            "telephone_number": "516-439-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 YORK AVENUE",
            "address_2": "9TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "646-962-4463",
            "fax_number": "646-962-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAAN",
        "first_name": "GERARD",
        "middle_name": "CALIXIJAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.