Active NPI
Casey Eadon
- Primary Care Nurse Practitioner
- Hazlet, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ14882200
- Practice address
- 3253 Route 35
Hazlet, NJ 07730-1544 - Phone
- (732) 888-7646
- Fax
- (732) 888-7649
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ14882200 | NJ | Primary |
Addresses
Primary practice location
3253 Route 35
Hazlet, NJ 07730-1544
Mailing address
PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14882200 | NJ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medicine Alliance PA | Current | Accepting new patients | |
| Ima Urgent Care | Past | Accepting new patients |
Locations
569 River Rd
Fair Haven, NJ 07704
Phone (732) 530-0100
3253 State Route 35
Hazlet, NJ 07730
Phone (732) 888-7646
100 Village Ct
Ste 302
Hazlet, NJ 07730
Phone (732) 758-0048
18 Leonardville Rd
New Monmouth, NJ 07748
Phone (732) 533-5124
363 State Route 36
Port Monmouth, NJ 07758
Phone (732) 471-0400
231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164
1026 Broad St
Unit 18
Shrewsbury, NJ 07702
Phone (732) 460-9840
175 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 747-4600
35 S Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-1515
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
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.
-
- Internal Medicine Physician
- Shrewsbury, NJ
- NPI 1649252776
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1487334975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8519",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077018519",
"telephone_number": "732-460-9840",
"fax_number": "732-460-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3253 ROUTE 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301544",
"telephone_number": "732-888-7646",
"fax_number": "732-888-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADON",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ14882200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.