Individual provider Active NPI

Caroline Ann Schade, AGNP-BC

  • Adult Health Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1265124085
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01436800 Issued in NJ
Practice address
1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone
(201) 837-7788
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01436800 NJ Primary

Addresses

Primary practice location

1415 Queen Anne Rd
Teaneck, NJ 07666-3521

Mailing address

4 Marcotte LN
Bergenfield, NJ 07621-3209
Phone (201) 881-6545

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
I20231102000784 NJ Practitioner - Nurse Practitioner 7315393956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of North JerseyGroup PAC ID 3577583863, 7 clinicians

Practice addresses (Care Compare)

1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone (201) 837-7788

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
50.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01436800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of North Jersey CurrentSince Nov 18, 2023 Accepting new patients

Locations

1415 Queen Anne Rd
Teaneck, NJ 07666
Phone (201) 488-4914

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1265124085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARCOTTE LN",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213209",
            "telephone_number": "201-881-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "201-837-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADE",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01436800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.