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

Cassidy Johnson

Individual provider Physician Assistant · NPI 1811862386

Cassidy Johnson is a Physician Assistant in New Brunswick, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone: (732) 828-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00965100 (NJ)
Hospitalist Physician Taxonomy 208M00000X · Licence 25MP00965100 (NJ)

Record details

NPI number1811862386
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2025
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address554 Challenger Way, Jackson, NJ 08527-4455

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Brunswick