Provider Demographics
NPI:1053051599
Name:CASELLA, ERICA BRAUN (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:BRAUN
Last Name:CASELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 14TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4482
Mailing Address - Country:US
Mailing Address - Phone:201-983-8854
Mailing Address - Fax:
Practice Address - Street 1:1 BETHANY RD STE 65
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1667
Practice Address - Country:US
Practice Address - Phone:732-264-0700
Practice Address - Fax:732-264-1414
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA127382002080A0000X, 208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program