Active NPI
Joseph K Kannadan, NP
- Acute Care Nurse Practitioner
- Somerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ01261500
- Practice address
- 110 Rehill Ave
Somerville, NJ 08876-2519 - Phone
- (732) 585-9035
- NPI assigned
- Feb 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01261500 | NJ | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerville, NJ 08876-2519
Mailing address
74 Lone Star LN
Manalapan, NJ 07726-3878
Phone (267) 455-4542
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
Enrollment records 1
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
Practice addresses (Care Compare)
110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2200
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Medical Associates, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Premier Infectious Diseases Consultants PC | Current | Accepting new patients | |
| Personal NP Services, LLC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Acute Care | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Acute Care | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients |
Locations
98 James St
Ste 208
Edison, NJ 08820
Phone (732) 494-9134
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jkannadan102031@epicdirect.rwjbh.org
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Acute Care
-
- Internal Medicine Physician
- Freehold, NJ
- NPI 1992454722
-
- Nurse Practitioner
- Lakewood, NJ
- NPI 1649658105
-
- Infectious Disease Physician
- Edison, NJ
- NPI 1336284280
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Acute Care
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1235884875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 LONE STAR LN",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263878",
"telephone_number": "267-455-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "732-585-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNADAN",
"first_name": "JOSEPH",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ01261500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.