Active NPI
Kasey Lynn Disomma, DMSC, PA-C
- Physician Assistant
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00542500
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 570-8700
- NPI assigned
- Aug 30, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00542500 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Other names 1
- Dr. Kasey Lynn O'Leary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Houston, TX 77027
Phone (973) 566-1826
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
4 Hampshire Dr
Mendham, NJ 07945-2004
Phone (973) 464-8363
5235 N Front St
Harrisburg, PA 17110-1717
Phone (973) 566-1826
80 State St
Albany, NY 12207-2541
Phone (973) 566-1826
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Hospital & facility affiliations
- Atlantic Visiting Nurse
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034381 | NY | MD | General Practice Dentistry |
| 25MP00542500 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimerhealth Medical Practice | Physician Assistant | Current | Accepting new patients |
| Dimer Health Services Inc | Physician Assistant | Current | Accepting new patients |
Locations
80 State St
Albany, NY 12207
Phone (415) 742-8411
123 Pike St
Ste 3
Port Jervis, NY 12771
Phone (973) 464-8363
5235 N Front St
Harrisburg, PA 17110
Phone (973) 566-1826
2100 West Loop S
Ste 900
Houston, TX 77027
Phone (713) 590-3641
Interoperability endpoints
- koleary45300@epicdirect.rwjbh.org
- kasey.o.leary.1@28989.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Mendham, NJ
- NPI 1285338483
NY, PA, Physician Assistant, TX
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Hackettstown, NJ
- NPI 1558768473
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1306118344
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Emergency Medicine Physician
- Mendham, NJ
- NPI 1306540620
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1114575271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-570-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISOMMA",
"first_name": "KASEY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DMSC, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00542500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASEY",
"last_name": "O'LEARY",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "DMSC, PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.