Individual provider Active NPI

Catherine Cecere, APN

  • Family Nurse Practitioner
  • Blairstown, NJ
National Provider Identifier
1104569128
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01298900 Issued in NJ
Practice address
104 State Route 94
Blairstown, NJ 07825-2208
Phone
(908) 362-5575
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 26NJ01298900 NJ Primary

Addresses

Primary practice location

104 State Route 94
Blairstown, NJ 07825-2208

Mailing address

104 Route 94
Blairstown, NJ 07825

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
I20231115002584 NJ Practitioner - Nurse Practitioner 7416304241 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skylands Urgent Care, LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

104 State Route 94
Blairstown, NJ 07825
Phone (908) 362-5575

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

Interoperability endpoints

  • Direct secure messaging: catherine.cecere.1@17698.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17698/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1104569128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "07825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STATE ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252208",
            "telephone_number": "908-362-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECERE",
        "first_name": "CATHERINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01298900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairstown, NJ

Sources for this page

Verify at the official NPI Registry.