Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Caraballo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063209229

Antonio Caraballo is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Senacare LLC, a 20-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
1
Licensed in
NJ, PA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

618 W Lehigh Ave
Philadelphia, PA 19133-2227
Phone: (215) 229-8857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15349700 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP032747 (PA)

Record details

NPI number1063209229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2025
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Senacare Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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