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

Jason Lee Cantor, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1932874120

Jason Lee Cantor, PHYSICIANASSISTANT is a Physician Assistant in Wailuku, Hawaii. Qualified in 2021, 5 years ago. Practices with Maui Trauma Surgeons LLP, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
5
Licensed in
HI
In the registry since
2021
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Practice location Address checks out

1830 Wells St Ste 101
Wailuku, HI 96793-2365
Phone: (808) 856-4060
Fax: (808) 442-9670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Mahalani St, Wailuku, HI 96793-2526 — (808) 244-9056

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-1067-0 (HI)

Record details

NPI number1932874120
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Maui Trauma Surgeons Llp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wailuku