Wellformed AI

NPI 1194699389 · live from the CMS NPI Registry

Caleb Allen, PA-C

Physician Assistant, Surgical in Berkeley Heights, NJ. National Provider Identifier 1194699389, active.

NPI record

NPI1194699389 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Surgical 363AS0400X
Practice location1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Practice phone908-277-8704
EnumeratedOctober 1, 2025
Last updatedNovember 5, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Surgical primary363AS0400X25MP00969600 (NJ)
Physician Assistant363A00000X25MP00969600 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.