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

Christian Joseph Logan, PA-C

Individual provider Medical Physician Assistant · NPI 1720823214

Christian Joseph Logan, PA-C is a Physician Assistant in Edison, New Jersey. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

65 James St
Edison, NJ 08820-3947
Phone: (732) 321-7000
Fax: (732) 744-5969
Show map & directions

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

Additional practice locations (1)

  • 123 Metro Blvd, Nutley, NJ 07110-6101 — (973) 761-9000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00858500 (NJ)

Record details

NPI number1720823214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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