Healthcare Provider Details

I. General information

NPI: 1417838442
Provider Name (Legal Business Name): AIDEN CASCIO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 SOUTH AVE E BLDG G UNIT A
CRANFORD NJ
07016-3266
US

IV. Provider business mailing address

570 SOUTH AVE E BLDG G UNIT A
CRANFORD NJ
07016-3266
US

V. Phone/Fax

Practice location:
  • Phone: 908-272-7990
  • Fax: 833-488-1207
Mailing address:
  • Phone: 908-272-7990
  • Fax: 833-488-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00940000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: