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ANDREA CACCIARELLI MD LLC
NPI 1063720647
Surgery - Plastic and Reconstructive Surgery in Montclair, NJ

Active since September 17, 2010
29 PARK ST, MONTCLAIR, NJ 07042(973) 364-0135(973) 364-0135 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Cacciarelli Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA CACCIARELLI MD LLC (NPI 1063720647) is a healthcare organization registered as a plastic and reconstructive surgery in Montclair, New Jersey and active in the NPI registry since September 2010. The organization lists Andrea Cacciarelli, Owner, as its authorized official.

NPPES Registry Identity

NPI1063720647
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameANDREA CACCIARELLI MD LLC
Location Address29 PARK STMontclair, NJ 07042-3407
Mailing Address251 Somerville RdBedminster, NJ 07921-2640 · (973) 364-0135 · Fax (973) 364-0135
Phone(973) 364-0135
Fax(973) 364-0135
Organization SubpartNo
Authorized OfficialAndrea CacciarelliOwner · (973) 364-0135
Enumeration DateSeptember 17, 2010
✔ NPI 1063720647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
29 PARK ST, Montclair, NJ 07042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Cacciarelli Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrea Cacciarelli MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Cacciarelli
Plastic and Reconstructive Surgery
NPI 1134231889
29 PARK ST
Montclair, NJ 07042
(973) 364-0135
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Cacciarelli MD LLC's NPI number?

The NPI number for Andrea Cacciarelli MD LLC is 1063720647. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Andrea Cacciarelli MD LLC located?

Andrea Cacciarelli MD LLC is located at 29 Park St, Montclair, NJ 07042. The listed phone number is (973) 364-0135.

What is Andrea Cacciarelli MD LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Andrea Cacciarelli MD LLC enrolled in Medicare?

Yes. Andrea Cacciarelli MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea Cacciarelli MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Andrea Cacciarelli MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Cacciarelli MD LLC was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.