Individual provider Active NPI

Colleen Murphy Sisson, PA

  • Physician Assistant
  • Flemington, NJ
National Provider Identifier
1740620343
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00310000 Issued in NJ
Practice address
4 Walter E Foran Blvd Ste 101
Flemington, NJ 08822-4665
Phone
(877) 345-5300
NPI assigned
Jun 27, 2013
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA066617 PA
Physician Assistant 363A00000X 25MP00310000 NJ Primary

Addresses

Primary practice location

4 Walter E Foran Blvd Ste 101
Flemington, NJ 08822-4665

Mailing address

90 Washington Valley Rd # 1231
Bedminster, NJ 07921-2118

Other practice location 1

90 Washington Valley Rd Ste 100
Bedminster, NJ 07921-2118
Phone (877) 345-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20130909000198 NJ Practitioner - Physician Assistant 1951544121 Reassigns benefits to 5 organizations
I20250604000255 PA Practitioner - Physician Assistant 1951544121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology of New Jersey LLCGroup PAC ID 1951616697, 12 clinicians

Practice addresses (Care Compare)

1005 N Washington Ave
Green Brook, NJ 08812-2619
Phone (877) 345-5300

239 Prospect Plains Rd
Suite B101
Monroe, NJ 08831-3704
Phone (877) 345-5300

90 Washington Valley Road
Suite 1231
Bedminster, NJ 07921-2118
Phone (877) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
016584NYMDSpeech-Language Pathologist
MA066617PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of North Jersey PastSince Aug 18, 2026 Accepting new patients
Modern Family Health NP PLLC PastSince Jul 13, 2025 Accepting new patients
Northwell Health Laboratories Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: csisson@auraderm.emadirect.md

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1740620343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON VALLEY RD # 1231",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224665",
            "telephone_number": "877-345-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Washington Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bedminster",
            "state": "NJ",
            "postal_code": "079212118",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON",
        "first_name": "COLLEEN",
        "middle_name": "MURPHY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066617",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00310000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.