Individual provider Active NPI

Santiago J. Caasi, MD

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1194893354
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA66484 Issued in NJ
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

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3K6636OtherNJHEALTHNET#
60029409OtherNJHORIZON NJ HEALTH#
7695306MedicaidNJ
2834616000OtherNJAMERIHEALTH#
8B3461OtherNJEMPIRE BCBS#
1551250OtherNJAETNA HMO#
268738OtherNJAMERIGROUP#
5233619OtherNJAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180402001499 NJ Practitioner - Pediatric Medicine 4789946708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA66484NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Pediatrics CurrentSince Feb 10, 2018 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

  • Direct secure messaging: santiago.caasi@direct.hackensackmeridian.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.