Individual provider Active NPI

Caroline Consol

  • Pediatrics Physician
  • Morristown, NJ
National Provider Identifier
1518595032
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB11871200 Issued in NJ
Practice address
435 South St Ste 250
Morristown, NJ 07960-6477
Phone
(973) 971-5227
Fax
(973) 290-7164
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB11871200 NJ Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X 25MB11871200 NJ

Addresses

Primary practice location

435 South St Ste 250
Morristown, NJ 07960-6477

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

451 Terrill Rd
Plainfield, NJ 07062-1377
Phone (908) 941-9490

Other practice location 2

33 Overlook Rd Ste L03
Summit, NJ 07901-3561
Phone (908) 522-5800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000506 NJ Practitioner - Pediatric Medicine 2567816044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11871200NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Pediatrics CurrentSince Sep 20, 2023 Accepting new patients
Ahs Hospital Corp PastSince Jun 25, 2023 Accepting new patients

Locations

128 Columbia Tpke
Florham Park, NJ 07932
Phone (201) 736-9535

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

435 South St
Ste 250
Morristown, NJ 07960
Phone (973) 971-5227

451 Terrill Rd
Plainfield, NJ 07062
Phone (908) 941-9494

33 Overlook Rd
Ste L03
Summit, NJ 07901
Phone (908) 522-5730

Interoperability endpoints

  • Direct secure messaging: cconsol270532@direct.ahsys.org

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1518595032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 250",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606477",
            "telephone_number": "973-971-5227",
            "fax_number": "973-290-7164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Terrill Rd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "NJ",
            "postal_code": "070621377",
            "country_code": "US",
            "telephone_number": "908-941-9490",
            "fax_number": "908-941-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Overlook Rd Ste L03",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013561",
            "country_code": "US",
            "telephone_number": "908-522-5800",
            "fax_number": "908-522-2765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSOL",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11871200",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NJ",
            "license": "25MB11871200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.