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MR. MARIO CORDARO D.O.
NPI 1285764506
Obstetrics & Gynecology in Belleville, NJ

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
36 NEWARK AVE STE 220, BELLEVILLE, NJ 07109(973) 844-4161(973) 844-4162 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2024, Sep 11, 2019, Feb 2, 2017 (3 updates tracked since 2017).

About Mr. Mario Cordaro D.o. NPPES

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

MR. MARIO CORDARO D.O. (NPI 1285764506) is an individual obstetrics & gynecology provider in Belleville, New Jersey, licensed in New Jersey (25MB10858900) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1285764506
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. MARIO CORDAROCredential: D.O.
Location Address36 NEWARK AVE STE 220Belleville, NJ 07109-4121
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(973) 844-4161
Fax(973) 844-4162
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1285764506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MB10858900✔ Licensed in NY · 208855
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
36 NEWARK AVE STE 220, Belleville, NJ 07109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14771 Hylan BlvdStaten Island, NY 10312-6315 · Phone (718) 948-8200 · Fax (718) 420-2718
Location 21050 Clove RdStaten Island, NY 10301-3627 · Phone (718) 816-6440 · Fax (718) 420-2718

Other Identifiers 1

Medicaid01867358NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mario Cordaro D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618938861
PECOS Enrollment IDI20220506001389
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

2

Medicare enrollment records show Mario Cordaro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
8.8 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Optum Medical Care Of New Jersey PC
26 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 07109 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES

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

KIMBERLY SAINVILUS APN
Nurse Practitioner
36 NEWARK AVE STE 220
BELLEVILLE, NJ 07109
Essex County (973) 429-2209

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 Mario Cordaro's NPI number?

The NPI number for Mario Cordaro is 1285764506. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Mario Cordaro located?

Mario Cordaro practices at 36 Newark Ave Ste 220, Belleville, NJ 07109. The listed phone number is (973) 844-4161.

What is Mario Cordaro's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mario Cordaro enrolled in Medicare?

Yes. Mario Cordaro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mario Cordaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Cordaro reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, 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 Mario Cordaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Cordaro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mario Cordaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Cordaro was last updated on August 19, 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.