Individual provider Active NPI

Lauren Spadaro

  • Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1083362461
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01280400 Issued in NJ
Practice address
1187 Main Ave Ste 1F
Clifton, NJ 07011-2252
Phone
(973) 928-2300
NPI assigned
Mar 14, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01280400 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ01280400 NJ

Addresses

Primary practice location

1187 Main Ave Ste 1F
Clifton, NJ 07011-2252

Mailing address

1187 Main Ave Ste 1F
Clifton, NJ 07011-2252

Other practice location 1

764 Main St Ste 303
Paterson, NJ 07503-2640
Phone (862) 249-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220924000062 NJ Practitioner - Nurse Practitioner 3971988148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trudoc LLCGroup PAC ID 3678989449, 6 clinicians

Practice addresses (Care Compare)

1187 Main Ave
Suite 1F
Clifton, NJ 07011-2252
Phone (973) 928-2300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trudoc LLC CurrentSince Sep 1, 2022 Accepting new patients
Gamil Makar MD LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

1187 Main Ave
Ste 1F
Clifton, NJ 07011
Phone (973) 546-6161

94 Diamond Spring Rd
Ste 2
Denville, NJ 07834
Phone (973) 625-1212

764 Main St
Ste 303
Paterson, NJ 07503
Phone (862) 249-4901

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGCD/Endpoint/CGDGCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1083362461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE STE 1F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE STE 1F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-928-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "764 Main St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032640",
            "country_code": "US",
            "telephone_number": "862-249-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADARO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01280400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01280400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.