Individual provider Active NPI

Casey Ann Colangelo, PA

  • Physician Assistant
  • Somerset, NJ
National Provider Identifier
1821613191
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
75 Veronica Ave Ste 205
Somerset, NJ 08873-5002
Phone
(732) 246-9900
Fax
(732) 246-9903
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 Primary

Addresses

Primary practice location

75 Veronica Ave Ste 205
Somerset, NJ 08873-5002

Mailing address

314 2ND St Apt 2a
Hoboken, NJ 07030-3689
Phone (201) 739-6699

Other practice location 1

26 Journal Sq Ste 1202
Jersey City, NJ 07306-4107
Phone (609) 415-3376

Other practice location 2

659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 912-7909

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
I20211020002445 NJ Practitioner - Physician Assistant 7113315326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aura Dermatology at Edison LLCGroup PAC ID 1355784646, 4 clinicians
Aura Dermatology at Somerset LLCGroup PAC ID 0648606087, 5 clinicians

Practice addresses (Care Compare)

659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 912-7909

75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002
Phone (732) 246-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cac7040@direct.nyp.org

Organizations & group practices 5

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1821613191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 2ND ST APT 2A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303689",
            "telephone_number": "201-739-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-246-9900",
            "fax_number": "732-246-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Journal Sq Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073064107",
            "country_code": "US",
            "telephone_number": "609-415-3376",
            "fax_number": "609-415-3377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "659 New Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201912",
            "country_code": "US",
            "telephone_number": "732-912-7909",
            "fax_number": "732-515-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "CASEY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.