Active NPI
Nikerl-Ange Cadet, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1417097635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 215 W 125TH St
2ND Floor
New York, NY 10027-4426 - Phone
- (212) 876-9593
- Fax
- (212) 939-1434
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
215 W 125TH St
2ND Floor
New York, NY 10027-4426
Mailing address
17 Klint CT
Nanuet, NY 10954-5939
Phone (212) 876-9593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Internal Medicine | Current | Accepting new patients | |
| Supreme Internal Medicine, P.C. | Current | Accepting new patients |
Locations
1207 Merchant Way
Ste 201
Statesboro, GA 30458
Phone (912) 243-9080
Interoperability endpoints
- nikerlange.emokpae@simp.eclinicaldirectplus.com
Organizations & group practices 2
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
- Statesboro, GA
- NPI 1891130647
-
- Primary Care Clinic/Center
- Statesboro, GA
- NPI 1831536341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417097635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 KLINT CT",
"city": "NANUET",
"state": "NY",
"postal_code": "109545939",
"telephone_number": "212-876-9593",
"fax_number": "212-939-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 125TH ST",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274426",
"telephone_number": "212-876-9593",
"fax_number": "212-939-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADET",
"first_name": "NIKERL-ANGE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.