Individual provider Active NPI

Jerry Cadet

  • Physician Assistant
  • Amityville, NY
National Provider Identifier
1841954013
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027627 Issued in NY
Practice address
34 Carleton Ave
Amityville, NY 11701-3643
Phone
(516) 262-0175
NPI assigned
Oct 25, 2021
Last updated
Jan 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027627 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 027627 NY

Addresses

Primary practice location

34 Carleton Ave
Amityville, NY 11701-3643

Mailing address

34 Carleton Ave
Amityville, NY 11701-3643
Phone (516) 262-0175

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
I20220216002313 NY Practitioner - Physician Assistant 7911398516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

1065 Smithtown Ave
Bohemia, NY 11716-3800
Phone (631) 567-3113

10825 Horace Harding Expy
Corona, NY 11368-4532
Phone (718) 760-4600

130 Lake Ave S
Nesconset, NY 11767-1001
Phone (631) 768-1000

147 2ND Ave
Brentwood, NY 11717-4809
Phone (631) 273-7204

1740 Express Dr S
Hauppauge, NY 11788-5302
Phone (631) 582-3334

1800 Waring Ave
Bronx, NY 10469-6331
Phone (718) 379-4400

211 Lake Shore Rd
Ronkonkoma, NY 11779-3192
Phone (888) 380-8807

2830 Pitkin Ave
Brooklyn, NY 11208-3220
Phone (347) 709-3133

3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone (718) 996-1500

6136 170TH St
Fresh Meadows, NY 11365-1900
Phone (718) 709-0940

Hospital & facility affiliations

  • Wellbound Home health agency, Brooklyn, NY, CCN 337450

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Apr 12, 2022 Accepting new patients
New York University CurrentSince Aug 1, 2023 Accepting new patients
New York University Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: jcadet594901@nyumc.direct-ci.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.

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1841954013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARLETON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013643",
            "telephone_number": "516-262-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CARLETON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013643",
            "telephone_number": "516-262-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADET",
        "first_name": "JERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027627",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "027627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.