Active NPI
Consuelo C Cagande, MD
- Psychiatry Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA076777
- Practice address
- 3 Cooper PLZ
Suite 307
Camden, NJ 08103-1438 - Phone
- (856) 342-2328
- Fax
- (856) 541-6137
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD468901 | PA | |
| Psychiatry Physician | 2084P0800X | MA076777 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 307
Camden, NJ 08103-1438
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other practice location 1
51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010777988 00 | Other | AMERICHOICE | |
| 44596 | Other | UNIVERSITY HEALTHPLAN | |
| P3722722 | Other | OXFORD | |
| 0115746 | Medicaid | NJ | |
| 0428501 | Other | CIGNA | |
| 7362891 | Other | AETNA | |
| 3K6034 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA076777 | NJ | MD | Psychiatry Physician |
| MD468901 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| CMC Psychiatric Associates, PC | Psychiatry | Current | Accepting new patients |
| Long Island Jewish Medical Center | Past | Accepting new patients |
Locations
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
7559 263rd St
Glen Oaks, NY 11004
Phone (718) 470-8005
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Camden, NJ
- NPI 1982646634
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Psychiatric Hospital Unit
- New Hyde Park, NY
- NPI 1982611190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1164520573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 307",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2328",
"fax_number": "856-541-6137"
}
],
"practiceLocations": [
{
"address_1": "51 N 39th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191042640",
"country_code": "US",
"telephone_number": "215-662-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAGANDE",
"first_name": "CONSUELO",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD468901",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA076777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010777988 00",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTHPLAN",
"identifier": "44596",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3722722",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115746",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0428501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7362891",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K6034",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.