Active NPI
Emily Cacciola, PA
- Medical Physician Assistant
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00767100
- Practice address
- 127 Montgomery St
Jersey City, NJ 07302-3616 - Phone
- (201) 431-7200
- Fax
- (833) 488-1215
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00767100 | NJ | Primary |
Addresses
Primary practice location
127 Montgomery St
Jersey City, NJ 07302-3616
Mailing address
271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
127 Montgomery St
Jersey City, NJ 07302-3616
Phone (201) 431-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00767100 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care for the Homebound PA | Family Medicine | Current | Accepting new patients |
Locations
271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600
Interoperability endpoints
- https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
- emily.childers.1@25493.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Town Medical Associates, P.A.
- Family Medicine Physician
- Verona, NJ
- NPI 1073674412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
dba Jersey City Medical Center/AMB
- Ambulance
- Jersey City, NJ
- NPI 1871738021
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1447950902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 GROVE AVE STE E",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441730",
"telephone_number": "973-559-3700",
"fax_number": "833-484-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MONTGOMERY ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023616",
"telephone_number": "201-431-7200",
"fax_number": "833-488-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCIOLA",
"first_name": "EMILY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00767100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.