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Andrea Cacciarelli MD LLC

NPI 1063720647ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Montclair, NJ

Surgery, Plastic and Reconstructive Surgery in Montclair, New Jersey, registered in NPPES in September 2010. The authorized official on file is Andrea Cacciarelli, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1063720647
StatusActive
Entity typeOrganization
NPI issuedSep 17, 2010
Last updated in NPPESSep 17, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

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