Individual provider Active NPI

Michael C Cadorette, ANP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1003357922
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00698900 Issued in NJ
Practice address
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone
(866) 949-0108
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00698900 NJ Primary

Addresses

Primary practice location

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323

Mailing address

40 S Main St Ste 1300
Memphis, TN 38103-5513
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124003591 DE Order and Referring Only - Nurse Practitioner 8527335561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00698900NJMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/TtBa6m0CO2ykz03C9oGIAfs1lSi1ZBkp/
  • Direct secure messaging: michael.cadorette@immcarenj.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/7580/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1003357922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR STE 2600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025323",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADORETTE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00698900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.