MICHELLE ITIDIARE
NPI 1194180349
Nurse Practitioner - Family in West Orange, NJ

Q: What is Michelle Itidiare's NPI number?

The NPI number for Michelle Itidiare is 1194180349. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Q: What is Michelle Itidiare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Itidiare was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 15, 2015PECOS Enrolled

347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052(908) 420-1361 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2016, Dec 15, 2015 (2 updates tracked since 2015).

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About Michelle Itidiare NPPES

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

MICHELLE ITIDIARE (NPI 1194180349) is an individual family provider in West Orange, New Jersey, licensed in New Jersey (26NJ00625200) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194180349

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE ITIDIARE

Location Address347 MOUNT PLEASANT AVE, SUITE 103West Orange, NJ 07052-2744

Mailing Address347 Mount Pleasant Ave, Suite 103West Orange, NJ 07052-2744

Phone(908) 420-1361

Sole ProprietorNo

Enumeration DateDecember 15, 2015

Last NPPES UpdateNovember 30, 20162 updates tracked since enumeration

✔ NPI 1194180349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00625200

347 MOUNT PLEASANT AVE, West Orange, NJ 07052

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Itidiare 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.

Medicare Billing Reassignments

Medicare enrollment records show Michelle Itidiare reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nj Memory And Behavioral Care

10 mi

Geriatric Psychiatry

14 RIDGEDALE AVE STE 103
Cedar Knolls, NJ 07927

Reassigned Medicare billing, New Jersey enrollment
114 clinicians in this Medicare group

NPI 1538499181 (973) 295-6335

Jeffrey Rapaport,md,pa

17 mi

Procedural Dermatology

333 SYLVAN AVE, 207
Englewood Cliffs, NJ 07632

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1184777427 (201) 227-1555

Signify Health Medical Associates Of New Jersey, LLC

28 mi

General Practice

116 VILLAGE BLVD STE 200
Princeton, NJ 08540

Reassigned Medicare billing, New Jersey enrollment
421 clinicians in this Medicare group

NPI 1174187728 (877) 868-5351

Brookview Medical Associates, PLLC

61 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%1,993 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

17%441 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

79%1,054 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

75%1,054 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHELE COLON APN-C

Nurse Practitioner (Acute Care)

347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

SUJELIS PEREZ PA-C

Physician Assistant

347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

ARTHUR C TUTELA II MD PA

Ophthalmology

347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052

Essex County (973) 669-1240

MRS. GARLAND LEE PA

Physician Assistant (Medical)

347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

DR. ARTHUR C TUTELA II M.D.

Ophthalmology

347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052

Essex County (973) 669-1240

MARC ABBATE MD

Dermatology

347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

VASCULAR ACCESS CENTER OF WEST ORANGE, LLC

Radiology (Vascular & Interventional Radiology)

347 MOUNT PLEASANT AVE, SUITE 100
WEST ORANGE, NJ 07052

Essex County (215) 382-3680

DR. LEWIS PETER STOLMAN MD

Dermatology

347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

Essex County (973) 740-0101

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 Michelle Itidiare's NPI number?

The NPI number for Michelle Itidiare is 1194180349. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Michelle Itidiare located?

Michelle Itidiare practices at 347 Mount Pleasant Ave Suite 103, West Orange, NJ 07052. The listed phone number is (908) 420-1361.

What is Michelle Itidiare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Itidiare enrolled in Medicare?

Yes. Michelle Itidiare is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Itidiare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Itidiare reassigns Medicare benefits to 4 organizations: Nj Memory And Behavioral Care (Cedar Knolls, NJ), Jeffrey Rapaport,md,pa (Englewood Cliffs, NJ), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and Brookview Medical Associates, PLLC (Bohemia, NY). Each 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 Michelle Itidiare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Itidiare was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.