Active NPI
Santiago J. Caasi, MD
- Pediatrics Physician
- Edison, NJ
National Provider Identifier
1194893354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA66484
- Practice address
- 7 State Route 27
Colonial Village Suite 102
Edison, NJ 08820-3965 - Phone
- (732) 494-0866
- Fax
- (732) 494-1263
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA66484 | NJ | Primary |
Addresses
Primary practice location
7 State Route 27
Colonial Village Suite 102
Edison, NJ 08820-3965
Mailing address
7 State Route 27
Colonial Village Suite 102
Edison, NJ 08820-3965
Phone (732) 494-0866
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3K6636 | Other | NJ | HEALTHNET# |
| 60029409 | Other | NJ | HORIZON NJ HEALTH# |
| 7695306 | Medicaid | NJ | |
| 2834616000 | Other | NJ | AMERIHEALTH# |
| 8B3461 | Other | NJ | EMPIRE BCBS# |
| 1551250 | Other | NJ | AETNA HMO# |
| 268738 | Other | NJ | AMERIGROUP# |
| 5233619 | Other | NJ | AETNA PPO# |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA66484 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Pediatrics | Current | Accepting new patients |
| Westside Pediatrics,P.a. | Pediatrics | Past | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Edison Pediatrics Associates ,PA | Pediatrics | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007
Interoperability endpoints
- santiago.caasi@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Pediatrics
-
- Pediatrics Physician
- Edison, NJ
- NPI 1861536997
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
- Pediatrics Physician
- Jersey City, NJ
- NPI 1881756922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1194893354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 STATE ROUTE 27",
"address_2": "COLONIAL VILLAGE SUITE 102",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203965",
"telephone_number": "732-494-0866",
"fax_number": "732-494-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 STATE ROUTE 27",
"address_2": "COLONIAL VILLAGE SUITE 102",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203965",
"telephone_number": "732-494-0866",
"fax_number": "732-494-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAASI",
"first_name": "SANTIAGO",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA66484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET#",
"identifier": "3K6636",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH#",
"identifier": "60029409",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7695306",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH#",
"identifier": "2834616000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS#",
"identifier": "8B3461",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO#",
"identifier": "1551250",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP#",
"identifier": "268738",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO#",
"identifier": "5233619",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.