Individual provider Active NPI

Daniel Carducci, P.A.

  • Medical Physician Assistant
  • Flemington, NJ
National Provider Identifier
1669812731
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00308700 Issued in NJ
Practice address
5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675
Phone
(908) 824-7179
Fax
(908) 824-7684
NPI assigned
Jul 3, 2013
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00308700 NJ Primary

Addresses

Primary practice location

5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675

Mailing address

5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675
Phone (908) 824-7179

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001206 NJ Practitioner - Physician Assistant 4688965544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Family Medicine PAGroup PAC ID 1456592930, 3 clinicians

Practice addresses (Care Compare)

4 Walter E Foran Blvd
Suite 101
Flemington, NJ 08822-4665
Phone (908) 824-7179

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00308700NJMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: daniel.carducci.p57@direct.hunterdon.nextgenshare.com

Organizations & group practices 1

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 1

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1669812731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALTER E FORAN BLVD STE 4000",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224675",
            "telephone_number": "908-824-7179",
            "fax_number": "908-824-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALTER E FORAN BLVD STE 4000",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224675",
            "telephone_number": "908-824-7179",
            "fax_number": "908-824-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDUCCI",
        "first_name": "DANIEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00308700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.