Mr. Derek S. Caruso

MSW, MSN, PMHNP-BC | Nurse Practitioner

16 Williams Blvd Apt 1d, Lake Grove
  New York, 11755-2413
631-747-8121
May or may not accept Medicare Nurse Anesthetist in Lake Grove, New York.
Mr. Derek S. Caruso is a Lake Grove, New York based nurse practitioner. Active license number of Mr. Derek S. Caruso is F405069 for Psych/Mental Health in New York. His current practice location is 16 Williams Blvd Apt 1d, Lake Grove. Patients can reach him at 631-747-8121. Mr. Derek S. Caruso is MSW, MSN, PMHNP-BC and his NPI number (Unique professional ID assigned by NPPES) is 1871841577.
Mr. Derek S. Caruso has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Derek S. Caruso speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Derek S. Caruso
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: MSW, MSN, PMHNP-BC
Practice Address:16 Williams Blvd Apt 1d, Lake Grove,
New York, 11755-2413
Phone:631-747-8121
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
NPI Number: 1871841577
NPI Enumeration Date: 28 Aug, 2012
NPI Last Update On: 02 Dec, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Derek S. Caruso are as mentioned below.
License NumberSpecializationStateStatus
F405069Psych/Mental Health New YorkPrimary
086771Social Worker New YorkSecondary
084067Social Worker New YorkSecondary
744382Registered Nurse New YorkSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Derek S. Caruso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1184445835OtherNew YorkTYPE 2 NPI - ORGANIZATION
03482717MedicaidNew York
13545756OtherNew YorkCAQH ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Derek S. Caruso
16 Williams Blvd Apt 1d,
Lake Grove, New York
Zip: 11755-2413
Phone Number: 631-747-8121
Patients can reach Mr. Derek S. Caruso at 16 Williams Blvd Apt 1d, Lake Grove, New York or can call to book an appointment on 631-747-8121.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.