Angelica J Brewer, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00300800 Issued in NJ

Practice address

3548 Route 9
Suite 2
Old Bridge, NJ 08857-2765

Phone

(732) 679-6738

Fax

(732) 679-9566

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Yale University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Dermatology Center PAGroup PAC ID 8123006947, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.77 of 100Reported as group

Quality

82.92

Promoting interoperability

100

Improvement activities

40

Cost

92.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abrewer954173@direct.unc.nchie.net
• Direct secure messaging: abrewer@centralderm.emadirect.md

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.

• Central Dermatology Center, PA

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1568424299
  Medicare reassignment Care Compare group
• Dermatology Associates of Central New Jersey, PA

  • MOHS-Micrographic Surgery Physician
  • Old Bridge, NJ
  • NPI 1104950013
  Medicare reassignment
• Oculofacial Plastic Surgery of Hawaii Inc

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1164048005
  NPD
• Shonta D Collins Consulting Group LLC

  • Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1144797416
  NPD (past)
• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1497093009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST STE 215",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-874-3444",
            "fax_number": "808-874-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 ROUTE 9",
            "address_2": "SUITE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572765",
            "telephone_number": "732-679-6738",
            "fax_number": "732-679-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ANGELICA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00300800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bond Dental Studios LLC
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• Laura Boulos, DO
• Neal Stuart Braff, O.D.
• Dmitriy Brener, PA-C
• Bridge Medical Associates, PA
• Brighter Health LLC
• Andrea Brognano
• Rachel Hannah Bruncati, LAMFT
• Cavan Michael Brunsden, DMD

• Medical Physician Assistant in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.

Verify at the official NPI Registry.