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

Edwin Kang, PA-C

Individual provider Medical Physician Assistant · NPI 1598292815

Edwin Kang, PA-C is a Physician Assistant in Newark, New Jersey. Qualified in 2017, 9 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

617 Broad St
Newark, NJ 07102-4403
Phone: (862) 246-7940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Central Ave, Newark, NJ 07102-1909 — (973) 887-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00436000 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00436000 (NJ)

Record details

NPI number1598292815
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address111 Central Ave, Newark, NJ 08844

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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