Individual provider Active NPI

Kasey Lynn Disomma, DMSC, PA-C

  • Physician Assistant
  • Livingston, NJ
National Provider Identifier
1114575271
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00542500 Issued in NJ
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

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191024002312 NJ Practitioner - Physician Assistant 5395077341 Reassigns benefits to 5 organizations
I20260224003213 NY Practitioner - Physician Assistant 5395077341 Reassigns benefits to 1 organization
I20260325000414 PA Practitioner - Physician Assistant 5395077341 Reassigns benefits to 1 organization
I20260325000640 TX Practitioner - Physician Assistant 5395077341 Reassigns benefits to 1 organization

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
Dimerhealth Medical PracticeGroup PAC ID 5991162257, 29 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

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 Home health agency, Morristown, NJ, CCN 317054

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034381NYMDGeneral Practice Dentistry
25MP00542500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dimerhealth Medical Practice Physician Assistant CurrentSince Dec 8, 2025 Accepting new patients
Dimer Health Services Inc Physician Assistant CurrentSince Dec 8, 2025 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

  • Direct secure messaging: koleary45300@epicdirect.rwjbh.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.