ANTONIO CARABALLO
NPI 1063209229
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
About Antonio Caraballo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO CARABALLO (NPI 1063209229) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15349700) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Antonio Caraballo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Antonio Caraballo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 141 clinicians in this Medicare group
Philadelphia, PA 19131
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1104447127 (New Jersey)
- 6 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Pennsylvania enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antonio Caraballo's NPI number?
The NPI number for Antonio Caraballo is 1063209229. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Antonio Caraballo located?
Antonio Caraballo practices at 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102. The listed phone number is (201) 822-1161.
What is Antonio Caraballo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Antonio Caraballo enrolled in Medicare?
Yes. Antonio Caraballo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Antonio Caraballo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Caraballo reassigns Medicare benefits to 3 organizations: Jls Medical PC (Newark, NJ), Senacare, LLC (Philadelphia, PA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Caraballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antonio Caraballo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Antonio Caraballo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Antonio Caraballo was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Antonio Caraballo · NPI 1063209229
Psychiatric/Mental Health physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1063209229 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15349700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 MAYOR GIBSON BLVD STE 606, Newark, NJ 07102-4537
- **Phone:** (201) 822-1161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jls Medical PC (NPI 1164007043, Newark, NJ); Senacare, LLC (NPI 1023989837, Philadelphia, PA); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063209229) · Data from the CMS NPPES public registry.