Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Christopher Raymond Cannara, AGPCNP

Individual provider Nurse Practitioner · NPI 1104671148

Mr. Christopher Raymond Cannara, AGPCNP is a Nurse Practitioner in Cedar Grove, New Jersey. Qualified in 2023, 3 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

20 Carmella Ct
Cedar Grove, NJ 07009-1350
Phone: (973) 477-1491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15056400 (NJ)

Record details

NPI number1104671148
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cedar Grove