Active NPI
Caitlyn Nicole Newsom, PA-C
- Medical Physician Assistant
- East Brunswick, NJ
National Provider Identifier
1003528019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00755800
- Practice address
- 557 Cranbury Rd
East Brunswick, NJ 08816-5419 - Phone
- (732) 613-0500
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00755800 | NJ | Primary |
Addresses
Primary practice location
557 Cranbury Rd
East Brunswick, NJ 08816-5419
Mailing address
168 Billows Dr
Mount Royal, NJ 08061-1064
Phone (856) 418-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230503000906 | NJ | Practitioner - Physician Assistant | 6800251521 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
557 Cranbury Rd
Suite 22
East Brunswick, NJ 08816-5419
Phone (732) 613-0500
8 Mountain Blvd
Warren, NJ 07059-2638
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00755800 | NJ | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1003528019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 BILLOWS DR",
"city": "MOUNT ROYAL",
"state": "NJ",
"postal_code": "080611064",
"telephone_number": "856-418-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165419",
"telephone_number": "732-613-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOM",
"first_name": "CAITLYN",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00755800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
- New Jersey Interventional Pain Management Center PC
- New Jersey Pediatric Feeding Associates
- New Jersey Pediatric Feeding Associates
- New York City Health and Hospitals Corporation
- Joann Newell, OTR/L
- Brian Nicholas, PTA
- Nasrin N/a Nikpour, RNC-MNN, BSN, IBCLC
- Nile Eye Care & Surgery LLC
- Michael J Nissenblatt, MD
- Nissi IV Hydration Therapy and Wellness Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.