NPIMap

Individual provider Active NPI

Caitlin Carr, MD

  • Gynecologic Oncology Physician
  • Astoria, NY
National Provider Identifier
1912384736
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
301618 Issued in NY
Practice address
2520 30TH Ave
Astoria, NY 11102-2448
Phone
(718) 808-7777
Fax
(216) 445-6325
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 301618 NY Primary

Addresses

Primary practice location

2520 30TH Ave
Astoria, NY 11102-2448

Mailing address

2520 30TH Ave
Astoria, NY 11102-2448
Phone (718) 808-7777

Other practice location 1

240 Willoughby St Ste 3A
Brooklyn, NY 11201-5428
Phone (718) 250-8106

Other practice location 2

325 W 15th St
New York, NY 10011-5903
Phone (212) 604-6000

Other practice location 3

1176 5th Ave
New York, NY 10029-6503
Phone (212) 241-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001600 NY Practitioner - Gynecological Oncology 0547645038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians
TBHC Physician Services PCGroup PAC ID 9133265317, 111 clinicians

Practice addresses (Care Compare)

1 Gustave Levy Place
Mount Sinai Hospital
New York, NY 10029-6500
Phone (212) 241-2232

325 W 15TH St
New York, NY 10011-5903
Phone (212) 844-5729

86 St Felix St
TBHC St Felix 6TH FL
Brooklyn, NY 11217
Phone (718) 250-6653

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2022 Accepting new patients
TBHC Physician Services PC CurrentSince Oct 1, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2022 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

86 Saint Felix St
Fl 6
Brooklyn, NY 11217
Phone (718) 250-6600

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

86 Saint Felix St
#6
Brooklyn, NY 11217

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

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

Interoperability endpoints

  • Direct secure messaging: ccarr19170@prd.direct.tbh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1912384736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022448",
            "telephone_number": "718-808-7777",
            "fax_number": "216-445-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022448",
            "telephone_number": "718-808-7777",
            "fax_number": "216-445-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Willoughby St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015428",
            "country_code": "US",
            "telephone_number": "718-250-8106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W 15th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100115903",
            "country_code": "US",
            "telephone_number": "212-604-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296503",
            "country_code": "US",
            "telephone_number": "212-241-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "CAITLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "301618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.