Active NPI
Dayana Alexandra Cannan, PA-C
- Surgical Physician Assistant
- Paterson, NJ
National Provider Identifier
1285940841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00318800
- Practice address
- 703 Main St
Paterson, NJ 07503 - Phone
- (862) 207-7510
- Fax
- (862) 257-1688
- NPI assigned
- Aug 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00318800 | NJ | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503
Mailing address
254 Floral LN
Saddle Brook, NJ 07663-5041
Phone (973) 634-2336
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
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
408 37TH St
Union City, NJ 07087-4994
Phone (201) 864-4477
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 379-5757
Hospital & facility affiliations
- Holy Name Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mehling Orthopedic of New York, PLLC | Past | Accepting new patients | |
| St Marys General Medical Group PC | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1992736300
-
- Orthopaedic Surgery Physician
- Hackensack, NJ
- NPI 1659424109
-
- Internal Medicine Physician
- Hoboken, NJ
- NPI 1558673582
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
-
- Orthopaedic Surgery Physician
- West Islip, NY
- NPI 1861944787
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1285940841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 FLORAL LN",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635041",
"telephone_number": "973-634-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "862-207-7510",
"fax_number": "862-257-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNAN",
"first_name": "DAYANA",
"middle_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00318800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.