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

Individual provider Surgical Physician Assistant · NPI 1700180106

Kaitlyn E Booth, PA is a Surgical Physician Assistant in New York, New York. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

560 1st Ave
New York, NY 10016-6402
Phone: (212) 263-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 663 Palisade Ave, Cliffside Park, NJ 07010-3012 — (201) 943-9100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00245300 (NJ)

Record details

NPI number1700180106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 29, 2010
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

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