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Deactivated NPI 1972054336 Deactivated / Inactive NPI Male Practitioner

Joseph Cacciabaudo

Specialist • Hamilton Square, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joseph Cacciabaudo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2016
NPI Deactivation Date June 26, 2025
Total Practice Duration ~9 Years of Practice (2016 – 2025)

Professional Overview & Biography Verified Profile Summary

Joseph Cacciabaudo was a registered Specialist practicing in Hamilton Square, NJ. Throughout an active medical career spanning 9 years, Joseph Cacciabaudo provided care at the practice location at 864 ESTATES BLVD. until profile deactivation on 2025-06-26.

Practice Location & Contact Primary Location

Practice Address

864 Estates Blvd.

Hamilton Square, NJ 08690

Telephone 6098900927

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Hamilton Square, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Hamilton Square, NJ (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MT00010200

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active October 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2016

Registered at 864 ESTATES BLVD., HAMILTON SQUARE, NJ 08690 (Tel: 6098900927)

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Updated Business Mailing Address October 20, 2016

Registered at 864 ESTATES BLVD., HAMILTON SQUARE, NJ 08690 (Tel: 6098900927)

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Provider Name / Credentials Updated October 20, 2016

Recorded as JOSEPH CACCIABAUDO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2016

Specialist (License #25MT00010200 in NJ)

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Initial NPI Registration & Enumeration October 20, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972054336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2016
Last Update: October 20, 2016
Deactivation Date: June 26, 2025

Mailing Address

864 Estates Blvd.

Hamilton Square, NJ 08690

Phone: 6098900927

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.