Individual provider Active NPI

Brandon J Hom, PA-C

  • Physician Assistant
  • Red Bank, NJ
National Provider Identifier
1477921971
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00376300 Issued in NJ
Practice address
282 Broad St
Red Bank, NJ 07701-2003
Phone
(732) 842-3600
Fax
(732) 383-6888
NPI assigned
Sep 14, 2015
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 25MP00376300 NJ Primary

Addresses

Primary practice location

282 Broad St
Red Bank, NJ 07701-2003

Mailing address

282 Broad St
Red Bank, NJ 07701-2003
Phone (732) 842-3600

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
I20151113001708 NJ Practitioner - Physician Assistant 1153631585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Stayman CT
Manalapan, NJ 07726-7930

206 Jack Martin Blvd
Suite C2
Brick, NJ 08724-7770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegra Arthritis Associates PC CurrentSince Aug 31, 2026 Accepting new patients
Mutahir Ali Abidi MD LLC CurrentSince Apr 6, 2026 Accepting new patients

Locations

206 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-8402

206 Jack Martin Blvd
Ste C2
Brick, NJ 08724
Phone (732) 840-8402

24 State Route 34 S
Ste C2
Colts Neck, NJ 07722
Phone (732) 747-9310

495 Iron Bridge Rd
Ste 5
Freehold, NJ 07728
Phone (732) 840-8402

250 Maple Pl
Keyport, NJ 07735
Phone (732) 264-8900

282 Broad St
Red Bank, NJ 07701
Phone (732) 842-3600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHAAA/Endpoint/GFHAAA

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, 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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1477921971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3600",
            "fax_number": "732-383-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3600",
            "fax_number": "732-383-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00376300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.