ANTHONY P. CARUSO M.D., P.C. - NPI NUMBER 1982863205

Summary

Provider Name: ANTHONY P. CARUSO M.D., P.C.

NPI Number: 1982863205

Clasification: Otolaryngology (207Y00000X)

Address:
580 COUNTY ROAD 39A
SOUTHAMPTON, NY
ZIP 11968

Phone Number: (631) 283-4412



Detailed Information

ANTHONY P. CARUSO M.D., P.C. is an otolaryngologist in Southampton, NY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. The assigned NPI number for this provider is 1982863205 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

580 COUNTY ROAD 39A
SOUTHAMPTON, NY
ZIP 11968-238
Phone: (631) 283-4412
Fax: (631) 283-4492

The provider's authorized official is Anthony P. Caruso .
The authorized official title is President and has the following contact phone number (631) 283-4412.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Y00000X Otolaryngology 135991 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 C09121 MEDICARE UPIN NY
2 00641516 MEDICAID NY

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1982863205 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ANTHONY P. CARUSO M.D., P.C. The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 580 COUNTY ROAD 39A The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name SOUTHAMPTON The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 119685238 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 6312834412 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 6312834492 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 6/2/2008 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 6/2/2008 The date that a record was last updated or changed.
14 Authorized Official Last Name CARUSO The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name ANTHONY The first name of the authorized official.
16 Authorized Official Middle Name P. The middle name of the authorized official.
17 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
18 Authorized Official Telephone Number 6312834412 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 207Y00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 135991 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 NY The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 C09121 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 1 NY
26 Other Provider Identifier 2 00641516 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 2 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 2 NY
29 Is Organization Subpart N
30 Authorized Official Credential Text M.D.
31 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1659393403 ANTHONY PAUL CARUSO, MD Individual Otolaryngology


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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