Individual provider Active NPI

Biagio Como, PHYSICIAN ASSISTANT

  • Physician Assistant
  • East Brunswick, NJ
National Provider Identifier
1427234772
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011205 Issued in NY
Practice address
3 Cornwall Dr
East Brunswick, NJ 08816-3311
Phone
(732) 698-1000
Fax
(732) 698-1008
NPI assigned
Jan 17, 2008
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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 011205 NY Primary

Addresses

Primary practice location

3 Cornwall Dr
East Brunswick, NJ 08816-3311

Mailing address

3 Cornwall Dr
East Brunswick, NJ 08816-3311
Phone (732) 698-1000

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
I20120919000674 NJ Practitioner - Physician Assistant 2860676632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011205NYMDPhysician Assistant

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, 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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1427234772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163311",
            "telephone_number": "732-698-1000",
            "fax_number": "732-698-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163311",
            "telephone_number": "732-698-1000",
            "fax_number": "732-698-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMO",
        "first_name": "BIAGIO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.