DR. THOMAS DEL CASALE D.O.
NPI 1386683266
Family Medicine in Clifton, NJ

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
1355 BROAD ST, CLIFTON, NJ 07013(973) 778-5566(973) 778-4044 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Del Casale D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS DEL CASALE D.O. (NPI 1386683266) is an individual family medicine provider in Clifton, New Jersey, licensed in New Jersey (25MB05063900) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1986).

NPPES Registry Identity

NPI1386683266
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS DEL CASALECredential: D.O.
Location Address1355 BROAD STClifton, NJ 07013-4221
Mailing Address1355 Broad StClifton, NJ 07013-4221 · (973) 778-5566 · Fax (973) 778-4044
Fax(973) 778-4044
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1986
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 2, 2011
✔ NPI 1386683266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB05063900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1355 BROAD ST, Clifton, NJ 07013

Other Identifiers 2

Medicare PIN476015BYQNJ
Medicare UPINE22076NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Del Casale D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345433736
PECOS Enrollment IDI20101018000974
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Del Casale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services59 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
80 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1355 BROAD ST
CLIFTON, NJ 07013
Nurse Practitioner (Family)
1355 BROAD ST
CLIFTON, NJ 07013
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Dietitian, Registered
1355 BROAD ST
CLIFTON, NJ 07013
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Del Casale's NPI number?

The NPI number for Thomas Del Casale is 1386683266. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Thomas Del Casale located?

Thomas Del Casale practices at 1355 Broad St, Clifton, NJ 07013. The listed phone number is (973) 778-5566.

What is Thomas Del Casale's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Del Casale enrolled in Medicare?

Yes. Thomas Del Casale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Del Casale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Del Casale reassigns Medicare benefits to Mpv New Jersey MD Services PC (Westwood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Del Casale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Del Casale accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Thomas Del Casale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Del Casale affiliated with any hospitals?

According to CMS data, Thomas Del Casale is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Thomas Del Casale was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.