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

Johanna Kubichek

Individual provider Medical Physician Assistant · NPI 1336697895

Johanna Kubichek is a Physician Assistant in West Orange, New Jersey. Qualified in 2016, 10 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016

Practice location Address checks out

456 Prospect Ave
West Orange, NJ 07052-4112
Phone: (973) 731-6767
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00407800 (NJ)

Record details

NPI number1336697895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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