Individual provider · Type 1 NPI

Antonio Caraballo

Psychiatric/Mental Health Nurse Practitioner · Newark, NJ

NPI number 1063209229 Active

Practice location

550 Mayor Gibson Blvd Ste 606
Newark, NJ 07102-4537

Call (201) 822-1161 Map

Mailing address

2409 S Lee St
Philadelphia, PA 19148-4105

Other practice locations

  • 618 W Lehigh Ave, Philadelphia, PA 19133-2227 · (215) 229-8857

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XSP032747 (PA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ15349700 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063209229

Antonio Caraballo's National Provider Identifier is 1063209229, issued on Apr 22, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, NJ. The record was last updated on Oct 7, 2026.