ERIC CARUSO


Address: 1200 W Tabor Rd, Moss Building, 3rd Floor, Philadelphia, PA 19141-3019
Phone: 2154563930

ERIC CARUSO (NPI# 1386170314) 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) 1386170314
Entity Type Individual
Full Name ERIC CARUSO
Credential PA-C
Practice Address 1200 W Tabor Rd
Moss Building, 3rd Floor
Philadelphia
PA 19141-3019
Mailing Address 1138 Pine St
Apt 303
Philadelphia
PA 19107-6051
Practice Telephone 2154563930
Practice Fax Number 2154561432
Mailing Telephone 4405228358
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA058952 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 W TABOR RD
MOSS BUILDING, 3RD FLOOR
City PHILADELPHIA
State PA
Zip Code 19141-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417926817 Ali Ibrahim El-kerdi Physical Therapist 1200 W Tabor Rd, Philadelphia, PA 19141-3019 2006-03-16
1861017402 Tyler Madison Gaines Urology 1200 W Tabor Rd, Philadelphia, PA 19141-3019 2020-06-09
1598300055 Eliana Rae Katz Internal Medicine 1200 W Tabor Rd, Philadelphia, PA 19141-3019 2019-11-08
1942719729 January Smith Nurse Practitioner 1200 W Tabor Rd, Philadelphia, PA 19141-3019 2017-09-25
1205246576 Einstein Practice Plan, Inc. Anesthesiology 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 2014-05-07
1497176200 Gillian Michelle Norah Murray Social Worker 1200 W Tabor Rd, 4th Floor, Philadelphia, PA 19141-3019 2013-12-20
1669613113 Jay Simhan Urology 1200 W Tabor Rd, 3sley, Philadelphia, PA 19141-3019 2009-03-12
1477709830 Maximillian Shmidheiser Clinical Neuropsychologist 1200 W Tabor Rd, Philadelphia, PA 19141-3019 2008-08-15
1578719233 Barath Sampath Psychiatry & Neurology 1200 W Tabor Rd, Moss Rehab, Philadelphia, PA 19141-3019 2008-08-13
1275797144 Justin I Friedlander Urology 1200 W Tabor Rd, 3sley, Philadelphia, PA 19141-3019 2008-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
Find all providers in zip 19141

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051763 Molly Catherine Peters Physician Assistant 4338 Boone St, Philadelphia, PA 19128-4901 2020-10-19
1356951024 Murielle M Boursiquot Physician Assistant 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 2020-08-06
1134757156 Julie Hutchison Physician Assistant 2922 N 5th St, Philadelphia, PA 19133-2801 2020-03-27
1174155857 Rebecca Volpe Physician Assistant 738 Longshore Ave, Philadelphia, PA 19111-4325 2020-02-10
1306308879 Ria Raju Physician Assistant 7909 Lawndale Ave, Philadelphia, PA 19111-2652 2019-04-03
1386101400 Ashley Thomas Physician Assistant 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1487119186 Shelby Elizabeth Ginsburg Physician Assistant 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 2019-02-06
1346720059 Noelle Elizabeth Mullanaphy Physician Assistant 4031 Sheffield St, Philadelphia, PA 19136-3101 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19141

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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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