Individual provider Active NPI

Joseph Robert Cariddi, PA

  • Physician Assistant
  • Stamford, CT
National Provider Identifier
1336922889
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6508 Issued in CT
Practice address
90 Morgan St Ste 103
Stamford, CT 06905-5436
Phone
(203) 978-3138
Fax
(203) 325-3270
NPI assigned
Aug 17, 2023
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6508 CT Primary

Addresses

Primary practice location

90 Morgan St Ste 103
Stamford, CT 06905-5436

Mailing address

90 Morgan St Ste 103
Stamford, CT 06905-5436
Phone (203) 978-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231007000035 NJ Practitioner - Physician Assistant 8628423803 Reassigns benefits to 1 organization
I20240710001565 CT Practitioner - Physician Assistant 8628423803 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QMG2, LLCGroup PAC ID 0345541512, 13 clinicians
QMG3 LLCGroup PAC ID 8628353117, 18 clinicians
QMG4 LLCGroup PAC ID 4284912957, 15 clinicians
QMG5,LLCGroup PAC ID 2062820913, 17 clinicians

Practice addresses (Care Compare)

1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400

389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171

4200 Main St
Bridgeport, CT 06606-2303
Phone (203) 916-5151

57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Oct 1, 2023 Accepting new patients
Orthonj LLC CurrentSince Oct 1, 2023 Accepting new patients
Doctors Office CT PLLC PastSince Mar 21, 2023 Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

Interoperability endpoints

  • Direct secure messaging: joseph.cariddi.1@29110.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1336922889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST STE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055436",
            "telephone_number": "203-978-3138",
            "fax_number": "203-325-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST STE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055436",
            "telephone_number": "203-978-3138",
            "fax_number": "203-325-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIDDI",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.