Active NPIIndividual provider

Dr. Kasey L Disomma, DMSC, PA-C

Physician Assistant in Livingston, New Jersey

NPI Number1114575271
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5672
Fax
—
Last updated
July 31, 2024

Kasey Lynn Disomma is a Physician Assistant based in Livingston, NJ. Kasey Lynn Disomma practices in Livingston, NJ and has the professional credentials of DMSC, PA-C. The NPI Number for Kasey Lynn Disomma is 1114575271 and holds a License No. 25MP00542500 (NJ). The current practice location address for Kasey Lynn Disomma is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-570-8700.

Provider Profile Details

NPI Number
1114575271
Provider Name
Kasey Lynn Disomma
Credential
DMSC, PA-C
Provider Entity Type
Individual
Gender
Female
Address
94 Old Short Hills RD, Livingston, NJ 07039-5672
Phone Number
973-570-8700
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Dr. Kasey Lynn O'Leary, DMSC, PA-C (Former Name)
Provider Enumeration Date
August 30, 2019
Last Update Date
July 31, 2024
Certification Date
July 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
Zip
07039-5672
Phone Number
973-570-8700
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
City
Livingston
State
NJ
Zip
07039-5672

License Information

License Number
25MP00542500
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kasey L Disomma, DMSC, PA-C?

The NPI number of Dr. Kasey L Disomma, DMSC, PA-C is 1114575271. It was assigned on August 30, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Kasey L Disomma, DMSC, PA-C?

Dr. Kasey L Disomma, DMSC, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00542500.

Where does Dr. Kasey L Disomma, DMSC, PA-C practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-570-8700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114575271 directly on the NPPES registry website.

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