Individual provider Active NPI

Jerome R Caiati, MD

  • Internal Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1932269289
Registry record updated Mar 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1438231 Issued in NY
Practice address
165 N Village Ave Ste 134
Rockville Centre, NY 11570-3763
Phone
(516) 764-6605
Fax
(516) 764-6243
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1438231 NY Primary

Addresses

Primary practice location

165 N Village Ave Ste 134
Rockville Centre, NY 11570-3763

Mailing address

PO Box 198
Rockville Centre, NY 11571-0198
Phone (516) 764-6605

Other identifiers 2

IdentifierTypeStateIssuer
TAX ID#451875841OtherNYTAX ID
02023307MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000273 NY Practitioner - Internal Medicine 3274792544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 N Village Ave
Suite 134
Rockville Centre, NY 11570-3763
Phone (516) 764-6605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1438231NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome R Caiati MD.,PC. Internal Medicine CurrentSince May 15, 2012 Accepting new patients

Locations

165 N Village Ave
Ste 134
Rockville Ctr, NY 11570
Phone (516) 764-6605

Networks

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

Organizations & group practices 1

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331337600000",
    "number": "1932269289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115710198",
            "telephone_number": "516-764-6605",
            "fax_number": "516-764-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 134",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763",
            "telephone_number": "516-764-6605",
            "fax_number": "516-764-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIATI",
        "first_name": "JEROME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2012-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1438231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "TAX ID#451875841",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02023307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.