JACQUELINE CARABALLO


Address: 100 De Kruif Place Apt 27h, Bronx, NY 10475
Phone: 6463459810

JACQUELINE CARABALLO (NPI# 1518465996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518465996
Entity Type Individual
Full Name JACQUELINE CARABALLO
Credential FNP
Practice Address 100 De Kruif Place Apt 27h
Bronx
NY 10475
Mailing Address 100 De Kruif Pl Apt 27h
Bronx
NY 10475-2414
Practice Telephone 6463459810
Mailing Telephone 6463459810
Enumeration Date 2018-01-31
Last Update Date 2018-01-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
342573 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JACQUELINE CARABALLO

NPI Name Taxonomy Address Enumeration
1417407206 Jacqueline Caraballo Counselor 330 Federal St, Camden, NJ 08103-1121 2016-10-05

Office Location

Street Address 100 DE KRUIF PLACE APT 27H
City BRONX
State NY
Zip Code 10475

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973048 Sharon Antoinette Hall Registered Nurse 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 2019-07-11
1265912042 Bartow Pharmacy Inc. Pharmacy 500-5 Baychester Ave. Store #5, Bronx, NY 10475 2018-08-21
1093227142 Rachel Obeng Mireku Licensed Practical Nurse 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 2017-10-30
1023534518 Nelson Merritt Hall Chiropractor 2100 Bartow Ave, Ste #227, Bronx, NY 10475 2017-08-17
1245769363 Sharon Holland Johnson Licensed Practical Nurse 140 Dekruif Pl, Bronx, NY 10475 2017-06-12
1740719152 Nadia S Etienne Licensed Practical Nurse 120 De Kruif Place, Apt 18h, Bronx, NY 10475 2017-06-08
1407385891 Ashley N Freeze Case Manager/Care Coordinator 140 Darrow Place Suite 24e, Bronx, NY 10475 2017-06-08
1912454091 Usth.inc Early Intervention Provider Agency 120 Coop City Blvd, 21-f, Bronx, NY 10475 2016-09-06
1447626130 Zelda Boomer Registered Nurse 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 2015-08-17
1285011833 Nequava Brown Social Worker 120 Donizetti Place, Apt 6d, Bronx, NY 10475 2015-05-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013258 Iris Massiel Garcia Nurse Practitioner 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 2020-11-04
1659986701 Yvette Rosemary Veras Nurse Practitioner 3400 Paul Ave Apt 20h, Bronx, NY 10468-1015 2020-09-14
1740894302 Ajirioghene Ojadi Nurse Practitioner 100 Casals Pl Apt 6b, Bronx, NY 10475-3007 2020-09-01
1225641129 Nancilyma Aidoo Nurse Practitioner 1880 Lafayette Ave Apt 20e, Bronx, NY 10473-2721 2020-08-28
1639780679 Julia Donahue Nurse Practitioner 860 Grand Concourse Apt 7h, Bronx, NY 10451-2818 2020-08-13
1053920348 Genesis Castro Nurse Practitioner 2194 Barnes Ave Apt A9, Bronx, NY 10462-1929 2020-07-23
1356969299 Antoinette G Palmer Nurse Practitioner 4015 Wilder Ave, Bronx, NY 10466-2328 2020-07-07
1932726528 Beena Dacosta Nurse Practitioner 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 2020-06-29
1124640792 Violet Nkasiobi Nnaemeka Nurse Practitioner 2420 Westchester Ave, Bronx, NY 10461-3569 2020-05-17
1033731260 Diane Loubeau Nurse Practitioner 944 E 233rd St, Bronx, NY 10466-3218 2020-05-11
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Competitor

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City BRONX
Zip Code 10475

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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