Julie A Caucino, DO
Individual provider Active NPI Allergy & Immunology Physician · Skillman, NJ
NPI 1366449142 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1366449142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MB52641 (NJ)
- Practice address
- 24 Vreeland Dr
Skillman, NJ 08558-2621 - Phone
- (609) 921-2202
- Fax
- (609) 924-1468
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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, PA
Practice addresses (Care Compare)
24 Vreeland Dr
Suite 2
Skillman, NJ 08558-2621
Phone (609) 921-2202
Hospital & facility affiliations
- University Medical Center of Princeton at Plainsboro
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000305 | NJ | Practitioner - Allergy/Immunology |
3779482112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB52641 | NJ | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Center for Clinical Research | Past |
Accepting new patients | |
| Road Worth Traveling | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MB52641 | NJ | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05002900 | Other | NJ | CDS |
| 5569306 | Medicaid | NJ |
Other providers in Skillman, NJ
- Brighter Dental Care Montgomery & Skillman
- Catherine Rowe Brown
- Megan McIntyre Burns
- Care Health Medical LLC
- Carleen a. Thum D.C. P.C.
- Cedar Grove Counseling & Therapy
- Central Jersey Newborn Care
- Central Jersey Urgent Care
- Frank T Chang
- Aparma Chawla
All providers in Skillman, NJ · Allergy & Immunology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.