Individual provider Active NPI

Julie A Caucino, DO

  • Allergy & Immunology Physician
  • Skillman, NJ
National Provider Identifier
1366449142
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MB52641 Issued in NJ
Practice address
24 Vreeland Dr
Skillman, NJ 08558-2621
Phone
(609) 921-2202
Fax
(609) 924-1468
NPI assigned
Jul 7, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MB52641 NJ Primary
Research Study Specialist 1744R1102X 25MB05264100 NJ

Addresses

Primary practice location

24 Vreeland Dr
Skillman, NJ 08558-2621

Mailing address

24 Vreeland Dr
Skillman, NJ 08558-2621
Phone (609) 921-2202

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
I20040107000305 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3779482112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Allergy and Asthma Associates, PAGroup PAC ID 3971402314, 7 clinicians

Practice addresses (Care Compare)

24 Vreeland Dr
Suite 2
Skillman, NJ 08558-2621
Phone (609) 921-2202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB52641NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Center for Clinical Research PastSince Dec 6, 1990 Accepting new patients
Road Worth Traveling PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366449142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUCINO",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MB52641",
            "primary": true
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NJ",
            "license": "25MB05264100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.