CADOO MEDICAL PC
NPI 1528626488
Internal Medicine in Montclair, NJ

Active since June 04, 2019CLIA 31D2171716 · Waiver
66 PARK ST, MONTCLAIR, NJ 07042(973) 577-3010(973) 577-3011 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2020, Jan 30, 2020, Jan 16, 2020 and 1 more (4 updates tracked since 2019).

About Cadoo Medical Pc NPPES

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

CADOO MEDICAL PC (NPI 1528626488) is a healthcare organization registered as an internal medicine in Montclair, New Jersey and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Lisa Cadoo, President, as its authorized official.

NPPES Registry Identity

NPI1528626488
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCADOO MEDICAL PC
Location Address66 PARK STMontclair, NJ 07042-5908
Mailing Address66 Park Street, Suite 100Montclair, NJ 07042 · (973) 577-3010 · Fax (973) 577-3011
Fax(973) 577-3011
Organization SubpartNo
Authorized OfficialLisa CadooPresident · (973) 577-3010
Enumeration DateJune 4, 2019
Last NPPES UpdateNovember 13, 20204 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
NPI 1528626488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

66 PARK ST, Montclair, NJ 07042

Other Identifiers 5

OtherUHCNJ · Unitedhealthcare
OtherBCBSNJ · Horizon
OtherCIGNANJ · Cigna
Other1538460498Npi
OtherCLOVERNJ · Clover

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2171716

Cadoo Medical, PC · Montclair, NJ
Active · expires Sep 8, 2027
CLIA Number31D2171716
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorLisa Cadoo
Laboratory Phone(973) 577-3010
Laboratory LocationCadoo Medical, PC66 Park Street Suite 101, Montclair, NJ 07042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
66 PARK ST
MONTCLAIR, NJ 07042
Nurse Practitioner (Primary Care)
66 PARK ST
MONTCLAIR, NJ 07042

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 Cadoo Medical PC's NPI number?

The NPI number for Cadoo Medical PC is 1528626488. It was assigned to this organization in the NPPES registry on June 4, 2019.

Where is Cadoo Medical PC located?

Cadoo Medical PC is located at 66 Park St, Montclair, NJ 07042. The listed phone number is (973) 577-3010.

What is Cadoo Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Cadoo Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2171716) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cadoo Medical PC was last updated on November 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.