Individual provider Active NPI

Nicole Annette Schrader-Barile, MD

  • Otolaryngology Physician
  • Princeton, NJ
National Provider Identifier
1215058128
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA07870100 Issued in NJ
Practice address
256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone
(609) 430-9200
Fax
(609) 430-9202
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD429950 PA
Otolaryngology Physician 207Y00000X 25MA07870100 NJ Primary

Addresses

Primary practice location

256 Bunn Dr Ste a
Princeton, NJ 08540-2859

Mailing address

256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone (609) 430-9200

Other names 1

  • Nicole Annette Schrader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090813000221 NJ Practitioner - Otolaryngology 5991859704 Reassigns benefits to 1 organization
I20210513001354 PA Practitioner - Otolaryngology 5991859704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

256 Bunn Dr
Suite a
Princeton, NJ 08540-2859
Phone (609) 430-9200

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07870100NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Mar 3, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

1 Union St
Ste 206
Robbinsville, NJ 08691
Phone (609) 436-5740

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

1605 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 304-1114

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

111 Floral Vale Blvd
Yardley, PA 19067
Phone (445) 777-5550

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1215058128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER-BARILE",
        "first_name": "NICOLE",
        "middle_name": "ANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD429950",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA07870100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHRADER",
            "middle_name": "ANNETTE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.