Individual provider Active NPI

Jodi L. Cardinale, PA-C

  • Medical Physician Assistant
  • Corning, NY
National Provider Identifier
1487739504
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009076 Issued in NY
Practice address
130 Center Way
Corning, NY 14830-2287
Phone
(607) 936-9971
Fax
(607) 962-8938
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009076 NY
Medical Physician Assistant 363AM0700X 009076 NY Primary

Addresses

Primary practice location

130 Center Way
Corning, NY 14830-2287

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other identifiers 1

IdentifierTypeStateIssuer
02563702MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcardinale13252@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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
I20040414001624 NY Practitioner - Physician Assistant 5799770384 Reassigns benefits to 2 organizations
I20260310004769 MA Practitioner - Physician Assistant 5799770384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rina Health Medical Practice PCGroup PAC ID 3072922939, 6 clinicians
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Health Guard PCGroup PAC ID 8224503776, 4 clinicians

Practice addresses (Care Compare)

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (718) 689-6006

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

1336 Cedar St
Elmira, NY 14904-2951
Phone (607) 734-3929

23 Robert Pitt Dr
Suite 102a
Monsey, NY 10952-3470
Phone (718) 689-6006

274 W Broadway
Long Beach, NY 11561-3911
Phone (718) 689-6006

3 Park Dr
Westford, MA 01886-3511
Phone (718) 689-6006

305 Walpole St
Norwood, MA 02062-3021
Phone (718) 689-6006

31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100

455 Brayton Ave
Somerset, MA 02726-2642
Phone (718) 689-6006

4901 N Main St
Fall River, MA 02720-2080
Phone (718) 689-6006

495 New Boston Rd
Fall River, MA 02720-5835
Phone (718) 689-6006

816 Myrtle Ave
Suite 101
Brooklyn, NY 11206-5558
Phone (718) 689-6006

820 Front St
Hempstead, NY 11550-4627
Phone (718) 689-6006

888 N Main St
Brockton, MA 02301-1668
Phone (718) 689-6006

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Corning, NY, CCN 337292
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009076NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2016 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Advantagehealth Medical Services, PC Past Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Ny Acute Care Specialists PC Past Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Arnot Ogden Medical Center Internal Medicine Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

144 E 1st St
Corning, NY 14830
Phone (607) 776-3921

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: jcardinale13252@direct-guthrie.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1487739504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302287",
            "telephone_number": "607-936-9971",
            "fax_number": "607-962-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINALE",
        "first_name": "JODI",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "009076",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563702",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcardinale13252@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Center Way",
            "city": "Corning",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148302287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.