Individual provider Active NPI

Joseph K Kannadan, NP

  • Acute Care Nurse Practitioner
  • Somerville, NJ
National Provider Identifier
1235884875
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ01261500 Issued in NJ
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

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417002260 NJ Practitioner - Nurse Practitioner 1850766213 Reassigns benefits to 7 organizations

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
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

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 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Associates, LLC CurrentSince Jan 24, 2026 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Dec 1, 2025 Accepting new patients
Premier Infectious Diseases Consultants PC CurrentSince Dec 16, 2025 Accepting new patients
Personal NP Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
Rwjbh Observation Associates LLC Acute Care CurrentSince May 19, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Acute Care CurrentSince Nov 7, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jan 4, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.