Individual provider Active NPI

Caitlin McCarry, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1245091958
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
801 N Market St
Wilmington, DE 19801-3095
Phone
(610) 930-6621
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 Primary

Addresses

Primary practice location

801 N Market St
Wilmington, DE 19801-3095

Mailing address

25 Martin Dr
Lansdowne, PA 19050-1809
Phone (610) 930-6621

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204001547 NJ Practitioner - Physician Assistant 0648763987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Skin Care and Laser Center, P.C.Group PAC ID 2567426919, 7 clinicians

Practice addresses (Care Compare)

101 Gaither Dr
Mount Laurel, NJ 08054-1701
Phone (856) 810-9888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Skin Care & Laser Center, P.C. CurrentSince Nov 4, 2025 Accepting new patients

Locations

101 Gaither Dr
Mount Laurel, NJ 08054
Phone (856) 810-9888

Organizations & group practices 1

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1245091958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARTIN DR",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501809",
            "telephone_number": "610-930-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013095",
            "telephone_number": "610-930-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRY",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.