Individual provider Active NPI

Casey Eadon

  • Primary Care Nurse Practitioner
  • Hazlet, NJ
National Provider Identifier
1487334975
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ14882200 Issued in NJ
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

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819002647 NJ Practitioner - Nurse Practitioner 0749728988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14882200NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medicine Alliance PA CurrentSince Jun 7, 2024 Accepting new patients
Ima Urgent Care PastSince Jun 9, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.