CAROLYN ROSE BIRBIGLIA MD
NPI 1487117545
Pediatrics in Westfield, NJ

Q: What is Carolyn Birbiglia's NPI number?

The NPI number for Carolyn Birbiglia is 1487117545. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Q: What is Carolyn Birbiglia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Birbiglia was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2019PECOS Enrolled

560 SPRINGFIELD AVE, WESTFIELD, NJ 07090(908) 228-3600(908) 228-3621 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2022, Apr 7, 2019 (2 updates tracked since 2019).

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About Carolyn Rose Birbiglia Md NPPES

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

CAROLYN ROSE BIRBIGLIA MD (NPI 1487117545) is an individual pediatrics provider in Westfield, New Jersey, licensed in New Jersey (25MA11497600) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487117545

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCAROLYN ROSE BIRBIGLIACredential: MD

Location Address560 SPRINGFIELD AVEWestfield, NJ 07090-1024

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 228-3600

Fax(908) 228-3621

Sole ProprietorNo

Enumeration DateApril 7, 2019

Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2022

✔ NPI 1487117545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA11497600

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

560 SPRINGFIELD AVE, Westfield, NJ 07090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Rose Birbiglia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carolyn Birbiglia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

4.0 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07090 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 20

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

CAROLINE FRANCISCO

Counselor (Professional)