Active NPI
Caroline Gustafson
- Physician Assistant
- Ossining, NY
National Provider Identifier
1932071305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 034996
- Practice address
- 12 Belleview Ave
Ossining, NY 10562-4310 - Phone
- (972) 838-8220
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 034996 | NY | Primary |
Addresses
Primary practice location
12 Belleview Ave
Ossining, NY 10562-4310
Mailing address
12 Belleview Ave
Ossining, NY 10562-4310
Phone (972) 838-8220
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034996 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1932071305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLEVIEW AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624310",
"telephone_number": "972-838-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELLEVIEW AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624310",
"telephone_number": "972-838-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "034996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.