Individual provider Active NPI

Klareena Sheena Cainglet

  • Physician Assistant
  • West Orange, NJ
National Provider Identifier
1619792074
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
39 Hunterdon Rd
West Orange, NJ 07052-1627
Phone
(862) 245-0007
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 NU Primary

Addresses

Primary practice location

39 Hunterdon Rd
West Orange, NJ 07052-1627

Mailing address

39 Hunterdon Rd
West Orange, NJ 07052-1627
Phone (862) 245-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250318001799 NY Practitioner - Physician Assistant 8729500871 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Sep 1, 2025 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 1, 2025 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kcainglet@montefioredirect.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1619792074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HUNTERDON RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521627",
            "telephone_number": "862-245-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HUNTERDON RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521627",
            "telephone_number": "862-245-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINGLET",
        "first_name": "KLAREENA",
        "middle_name": "SHEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.