Individual provider Active NPI

Pamela J Fiumecaldo, PA-C

  • Medical Physician Assistant
  • Manalapan, NJ
National Provider Identifier
1386819886
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00149700 Issued in NJ
Practice address
831 Tennent Rd
Manalapan, NJ 07726-8288
Phone
(732) 536-7144
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00149700 NJ Primary

Addresses

Primary practice location

831 Tennent Rd
Manalapan, NJ 07726-8288

Mailing address

98 Colfax St
South River, NJ 08882-1414
Phone (732) 735-1943

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
I20150319000229 NJ Practitioner - Physician Assistant 0042537631 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC CurrentSince Jan 1, 2020 Accepting new patients
Hunterdon Primary Care, PC CurrentSince Jan 1, 2020 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

215 State Route 31
#116
Flemington, NJ 08822

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

71 US Highway 206
Hillsborough, NJ 08844
Phone (908) 685-1887

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1386819886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 COLFAX ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821414",
            "telephone_number": "732-735-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-536-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUMECALDO",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00149700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.