Provider Demographics
NPI:1780658864
Name:CARUSO, EDWARD FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANCIS
Last Name:CARUSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:STEWARTSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08886
Mailing Address - Country:US
Mailing Address - Phone:908-454-6749
Mailing Address - Fax:908-454-4449
Practice Address - Street 1:960 ROUTE 173
Practice Address - Street 2:
Practice Address - City:BLOOMSBURY
Practice Address - State:NJ
Practice Address - Zip Code:08804-3112
Practice Address - Country:US
Practice Address - Phone:908-388-3500
Practice Address - Fax:908-388-3501
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA071791002084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ297779000OtherMAGELLAN BEHAVIORAL HEALT
NJ8642907Medicaid
NJ297779000OtherMAGELLAN BEHAVIORAL HEALT
NJ049747XAKMedicare PIN
F70262Medicare UPIN