✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

DONALD ANTHONY CARUSO, M.D. (NPI #1891796801)

Internal Medicine • WHITING, NJ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1891796801
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
65 LACEY RD, SUITE A, WHITING, NJ, 08759-2985
✓ 9-Digit EDI 837 ZIP+4 (08759-2985)
Practice Phone & Referral Fax
Fax: (732) 350-2001
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891796801 (DONALD ANTHONY CARUSO, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1891796801 (NPI-1 Individual Practitioner)
Provider / Legal NameDONALD ANTHONY CARUSO, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address65 LACEY RD, SUITE A, WHITING, NJ, 08759-2985
Practice Telephone / FaxTel: (732) 350-0404 | Fax: (732) 350-2001
Administrative Mailing Address65 LACEY RD, WHITING, NJ, 08759-2985
Enumeration & Last SyncEnumerated: 2005-08-02 | CMS Record Updated: 2012-07-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

65 LACEY RD, SUITE A, WHITING, NJ, 08759-2985

🗺️ Open in Google Maps 🏥 More Providers in WHITING

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DONALD ANTHONY CARUSO, M.D.)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: NJ | License: 25MA03234400 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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