JORGE CACEDA
NPI 1104678630
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Jorge Caceda's NPI number?

The NPI number for Jorge Caceda is 1104678630. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Q: What is Jorge Caceda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Caceda was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 05, 2024PECOS Enrolled

1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107(215) 955-6864 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jorge Caceda NPPES

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

JORGE CACEDA (NPI 1104678630) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104678630

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORGE CACEDA

Location Address1015 WALNUT ST STE 620Philadelphia, PA 19107-5005

Mailing Address1015 Walnut Street, Suite 620Philadelphia, PA 19107-4306 · (215) 955-6864 · Fax (215) 955-2878

Phone(215) 955-6864

Sole ProprietorNo

Enumeration DateApril 5, 2024

NPPES CertifiedApril 5, 2024

✔ NPI 1104678630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1015 WALNUT ST STE 620, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Caceda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON S DOERMANN MD

Student in an Organized Health Care Education/Training Program