| Jerome R Caiati Md.,pc. | |
|
165 N Village Ave Suite#134 Rockville Centre NY 11570 | |
| (516) 764-6605 | |
| (516) 764-6243 |
| Full Name | Jerome R Caiati Md.,pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 165 N Village Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Jerome Robert Caiati (DOCTOR) |
| Authorized Official Contact | 5167646605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome R Caiati Md.,pc. 165 N. Village Ave Suite134 Rockville Centre NY 11570 Ph: (516) 764-6605 | Jerome R Caiati Md.,pc. 165 N Village Ave Suite#134 Rockville Centre NY 11570 Ph: (516) 764-6605 |
| NPI Number | 1336406727 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Medicare PECOS PAC ID | 0244493054 |
|---|---|
| Medicare Enrollment ID | O20120515000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336406727 | NPI | - | NPPES |
| 02023307 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 143823 (New York) | Primary |
| Provider Name | Jerome R Caiati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932269289 PECOS PAC ID: 3274792544 Enrollment ID: I20120306000273 |
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