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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: October 18, 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
Phone(973) 577-3010
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
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cadoo Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cadoo Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Lisa Cadoo, M.D.
Internal Medicine
NPI 1538460498
66 PARK ST STE 100
Montclair, NJ 07042
(973) 577-3010
✔ PECOS✔ Accepts MedicareSame address
Narciza Varzovaite
Nurse Practitioner
NPI 1801658026
66 PARK ST STE 100
Montclair, NJ 07042
(973) 577-3010
✔ PECOSSame address
Sherri Brown, RD
Registered Dietitian or Nutrition Professional
NPI 1801464466
11 GETTY AVE
Paterson, NJ 07503
(973) 754-4200
✔ Accepts Medicare6.2 mi
Nour El Houda Elassa
Family Practice
NPI 1811492275
477 BROADWAY
Bayonne, NJ 07002
(551) 214-3980
✔ PECOS12 mi

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

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.

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.

Is Cadoo Medical PC enrolled in Medicare?

Yes. Cadoo Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cadoo Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Cadoo Medical PC, in Family Practice, Internal Medicine, Nurse Practitioner and Registered Dietitian or Nutrition Professional. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.