Individual provider Active NPI

Katharine Caceres

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1952071730
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310581 Issued in NY
Practice address
160 W 26TH St FL 4
New York, NY 10001-6975
Phone
(212) 924-2510
NPI assigned
Sep 14, 2021
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 702493 NY
Adult Health Nurse Practitioner 363LA2200X 310581 NY Primary

Addresses

Primary practice location

160 W 26TH St FL 4
New York, NY 10001-6975

Mailing address

160 W 26TH St # T
New York, NY 10001-6975
Phone (212) 924-2510

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110000165 NY Practitioner - Nurse Practitioner 9830588060 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702493NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 30, 2025 Accepting new patients
Union Health Center, Inc CurrentSince May 30, 2022 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 3, 2021 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 3, 2021 Accepting new patients
Union Health Center CurrentSince May 30, 2022 Accepting new patients
New York University CurrentSince Dec 30, 2025 Accepting new patients

Locations

21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
#2
Bronx, NY 10461

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

21111 Northern Blvd
Fl 2
Flushing, NY 11361
Phone (718) 224-2094

275 7th Ave
Fl 4
New York, NY 10001
Phone (212) 812-3542

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

160 W 26th St
#T
New York, NY 10001

160 W 26th St
Fl 4
New York, NY 10001
Phone (212) 812-3736

Interoperability endpoints

  • Direct secure messaging: kcaceres705223@nyumc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1952071730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W 26TH ST # T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016975",
            "telephone_number": "212-924-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W 26TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016975",
            "telephone_number": "212-924-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "KATHARINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "702493",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.