Organization Active NPI

Ernest S. Caruso, DC, PA

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1871507152
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7975 Issued in FL
Legal business name
ERNEST S. CARUSO, DC, PA
Practice address
3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657
Phone
(561) 447-2228
Fax
(561) 447-2230
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Laura B Burke Jr., MCC
Title
MCC
Phone
(954) 563-4472

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7975 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT21879 FL

Addresses

Primary practice location

3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657

Mailing address

3350 NW Boca Raton Blvd
Suite A24
Boca Raton, FL 33431-6657
Phone (561) 447-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000814 FL Part B Supplier - Clinic/Group Practice 4789640095 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

3350 NW 2nd Ave
Ste A24
Boca Raton, FL 33431
Phone (561) 447-2228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1871507152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW BOCA RATON BLVD",
            "address_2": "SUITE A24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316657",
            "telephone_number": "561-447-2228",
            "fax_number": "561-447-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW BOCA RATON BLVD",
            "address_2": "SUITE A24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316657",
            "telephone_number": "561-447-2228",
            "fax_number": "561-447-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST S. CARUSO, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MCC",
        "authorized_official_telephone_number": "954-563-4472",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MCC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7975",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.