Active NPI
Ralph Carmine Caselnova, MD
- Nephrology Physician
- Bellmore, NY
National Provider Identifier
1972587186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 108144
- Practice address
- 250 Pettit Ave
Ste 4
Bellmore, NY 11710 - Phone
- (516) 409-0106
- Fax
- (516) 409-0108
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 108144 | NY | Primary |
Addresses
Primary practice location
250 Pettit Ave
Ste 4
Bellmore, NY 11710
Mailing address
250 Pettit Ave
Ste 4
Bellmore, NY 11710
Phone (516) 409-0106
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1535330 | Other | OXFORD | |
| 390006774 | Other | RAILROAD MEDICARE | |
| AE45759 | Other | MDNY HEALTHCARE | |
| 00365595 | Medicaid | NY | |
| 4C1076 | Other | HEALTHNET | |
| 000000053679 | Other | GHI HMO | |
| 45006H | Other | HEALTHCARE PARTNERS | |
| 108144 | Other | HIP | |
| 4210 | Other | MAGNACARE | |
| 04798G | Other | GHI MEDICARE | |
| 0038690 | Other | GHI | |
| 52250 | Other | VYTRA | |
| 69117 | Other | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108144 | NY | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1972587186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PETTIT AVE",
"address_2": "STE 4",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "516-409-0106",
"fax_number": "516-409-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PETTIT AVE",
"address_2": "STE 4",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "516-409-0106",
"fax_number": "516-409-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASELNOVA",
"first_name": "RALPH",
"middle_name": "CARMINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "108144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1535330",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390006774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY HEALTHCARE",
"identifier": "AE45759",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00365595",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C1076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000053679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS",
"identifier": "45006H",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "108144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "4210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "04798G",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0038690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "52250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "69117",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.