Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caitlin Provost Conlon

Individual provider Nurse Practitioner · NPI 1003572579

Caitlin Provost Conlon is a Nurse Practitioner in Millburn, New Jersey. Qualified in 2019, 7 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

33 Bleeker St
Millburn, NJ 07041-1459
Phone: (973) 330-0810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15336900 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NR26902600 (NJ)

Record details

NPI number1003572579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Millburn