Antonio Caraballo
Nurse Practitioner, Psych/Mental Health in Newark, New Jersey
1063209229- Practice location
- 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102-4537
- Phone
- 201-822-1161
- Fax
- —
- Last updated
- October 7, 2026
Antonio Caraballo is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Antonio Caraballo practices in Newark, NJ. The NPI Number for Antonio Caraballo is 1063209229 and holds a License No. SP032747 (PA). The current practice location address for Antonio Caraballo is 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102-4537 and can be reached out via phone at 201-822-1161.
Provider Profile Details
- NPI Number
- 1063209229
- Provider Name
- Antonio Caraballo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102-4537
- Phone Number
- 201-822-1161
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 22, 2025
- Last Update Date
- October 7, 2026
- Certification Date
- October 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 Mayor Gibson Blvd Ste 606
Newark, NJ 07102-4537 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4537
- Phone Number
- 201-822-1161
Provider Business Mailing Address Details
- Address
- 2409 S Lee St
Philadelphia, PA 19148-4105 - City
- Philadelphia
- State
- PA
- Zip
- 19148-4105
License Information
- License Number (1)
- SP032747
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 26NJ15349700
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Antonio Caraballo?
The NPI number of Antonio Caraballo is 1063209229. It was assigned on April 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Antonio Caraballo?
Antonio Caraballo is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number SP032747.
Where does Antonio Caraballo practice?
The practice location is 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102-4537. The office can be reached at 201-822-1161 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063209229 directly on the NPPES registry website.