Individual provider Active NPI

Braelan Drollas

  • Physician Assistant
  • Caldwell, NJ
National Provider Identifier
1649138769
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00987600 Issued in NJ
Practice address
23 Washburn PL
Caldwell, NJ 07006-5614
Phone
(856) 834-5276
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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 25MP00987600 NJ Primary

Addresses

Primary practice location

23 Washburn PL
Caldwell, NJ 07006-5614

Mailing address

23 Washburn PL
Caldwell, NJ 07006-5614
Phone (856) 834-5276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedics Andsports Medicine,PCGroup PAC ID 1052391430, 12 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 201a
Bloomfield, NJ 07003-3061
Phone (973) 842-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MP00987600NJMDPhysician Assistant

Organizations & group practices 1

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": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1649138769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WASHBURN PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065614",
            "telephone_number": "856-834-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WASHBURN PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065614",
            "telephone_number": "856-834-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLLAS",
        "first_name": "BRAELAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00987600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.