Casandra Hicks Autry, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA06928800 Issued in NJ

Practice address

41 Highway 34 S
Colts Neck, NJ 07722-1753

Phone

(732) 308-2255

Fax

(732) 308-0081

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Icahn School of Medicine at Mount Sinai, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5667/brand/1/csg/1/fhir/r4
• Direct secure messaging: casandra.hicksautry.p1@direct.vnahg.nextgenshare.com
• Direct secure messaging: cautry424967@direct.ahsys.org

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.

• OB Hospitalist Services New Jersey, PA

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1801169966

  NJ

  Medicare reassignment Care Compare group NPD
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment NPD
• DHP of Princeton, PA

  • Obstetrics & Gynecology Physician
  • Plainsboro, NJ
  • NPI 1912463498
  NPD
• Prime Internal Medicine

  • Internal Medicine Physician
  • Freehold, NJ
  • NPI 1588912968
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  dba VNACJ CHC Pharmacy

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD
• Colts Neck OBGYN Associates, LLC

  • Obstetrics & Gynecology Physician
  • Colts Neck, NJ
  • NPI 1376607937
  NPD (past)

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

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1205801859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIGHWAY 34 S",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221753",
            "telephone_number": "732-308-2255",
            "fax_number": "732-308-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHWAY 34 S",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221753",
            "telephone_number": "732-308-2255",
            "fax_number": "732-308-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTRY",
        "first_name": "CASANDRA",
        "middle_name": "HICKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06928800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8097607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Almeida
• Subina Anand, DMD
• Philip Joseph Angello, M.D.
• George Asfendis, PSY.D.
• Autism Harmony Inc
• Sarah Azarchi, MD
• Catherine Baird, RDH
• Margarita Baldeo, MSW,LCSW
• Sersaray S Basarir Arslan, LMFT
• Vincent C Basile, PH.D.

• Obstetrics & Gynecology Physician in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.

Verify at the official NPI Registry.