Physician Compare National (NPI:1184729170)

HEALTHCARE PROVIDER: ROBERT VITO CARIDA II M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184729170
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981658747
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050304000563
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARIDA
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5352 LINTON BOULEVARD
	Group Practice or individual's line 1 address
City	DELRAY BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334866514
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100168
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BOCA RATON REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100258
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DELRAY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100268
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WEST BOCA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y