Active NPI
Casey Ann Colangelo, PA
- Physician Assistant
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Dermatology, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Edison, NJ
- NPI 1558138214
-
- Dermatology Physician
- Somerset, NJ
- NPI 1467091983
-
- Dermatology Physician
- Jersey City, NJ
- NPI 1699513960
-
- Dermatology Physician
- Clark, NJ
- NPI 1851562425
-
- Dermatology Physician
- Staten Island, NY
- NPI 1417316274
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.