Organization Active NPI

MQVN Community Development Corporation

  • Physical Medicine & Rehabilitation Physician
  • New Orleans, LA
National Provider Identifier
1699320382
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MQVN COMMUNITY DEVELOPMENT CORPORATION
Practice address
13101 Chef Menteur Hwy
New Orleans, LA 70129-1806
Phone
(504) 281-4461
Fax
(504) 254-6447
NPI assigned
Aug 8, 2019
Organization subpart
Yes
Parent organization
MQVN COMMUNITY DEVELOPMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Jace Cacioppo
Title
Compliance and Credentialing Office
Phone
(504) 249-5834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

13101 Chef Menteur Hwy
New Orleans, LA 70129-1806

Mailing address

13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Phone (504) 255-8665

Other names 1

  • NOELA Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100312000623 LA Part B Supplier - Clinic/Group Practice 4486789682 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Orleans, LA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
MQVN Community Dev Corp

Locations

13101 Chef Menteur Hwy
New Orleans, LA 70129
Phone (504) 281-4461

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1699320382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13085 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291804",
            "telephone_number": "504-255-8665",
            "fax_number": "504-254-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291806",
            "telephone_number": "504-281-4461",
            "fax_number": "504-254-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQVN COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MQVN COMMUNITY DEVELOPMENT CORPORATION",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "CACIOPPO",
        "authorized_official_first_name": "JACE",
        "authorized_official_title_or_position": "COMPLIANCE AND CREDENTIALING OFFICE",
        "authorized_official_telephone_number": "504-249-5834"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOELA Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOELA Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.