| Caruso-care, Np In Psychiatry, P.c. | |
|
28 Box St Apt N219 Brooklyn NY 11222-5585 | |
| (929) 683-3320 | |
| Not Available |
| Full Name | Caruso-care, Np In Psychiatry, P.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 28 Box St Apt N219, Brooklyn, New York |
| Authorized Official Name and Position | Derek S. Caruso (OWNER & PROVIDER) |
| Authorized Official Contact | 6317478121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caruso-care, Np In Psychiatry, P.c. 28 Box St Apt N219 Brooklyn NY 11222-5585 Ph: (631) 747-8121 | Caruso-care, Np In Psychiatry, P.c. 28 Box St Apt N219 Brooklyn NY 11222-5585 Ph: (929) 683-3320 |
| NPI Number | 1184445835 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Medicare PECOS PAC ID | 2264953702 |
|---|---|
| Medicare Enrollment ID | O20250312003453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184445835 | NPI | - | NPPES |
| 744382 | Other | NY | REGISTERED PROFESSIONAL NURSING (022) |
| 7513132 | Other | NY | DEPARTMENT OF STATE: DIVISION OF CORPORATIONS |
| 2023059078 | Other | NY | ANCC PSYCH-MENTAL HEALTH CERTIFICATION (NURSE PRACTITIONER) |
| 086771 | Other | NY | LICENSED MASTER SOCIAL WORK (072) |
| 1871841577 | Other | NY | TYPE 1 NPI - INDIVIDUAL/RENDERING PROVIDER |
| 405069 | Other | NY | NURSE PRACTITIONER IN PSYCHIATRY (040) |
| 084067 | Other | NY | LICENSED CLINICAL SOCIAL WORK (073) |
| 143712 | Other | NY | DOMESTIC PROFESSIONAL SERVICE CORPORATION (PSC) |
| 2019082532 | Other | NY | ANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE) |
| Provider Name | Derek S Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871841577 PECOS PAC ID: 1850686098 Enrollment ID: I20250312003717 |
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