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

Kathleen Pormento

Individual provider Physician Assistant · NPI 1306213343

Kathleen Pormento is a Physician Assistant in Hackensack, New Jersey. Qualified in 2015, 11 years ago. Practices with MSKCC Clinical Practice Plan, a 87-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

92 2nd St
Hackensack, NJ 07601-2191
Phone: (551) 996-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 Pompton Ave, Verona, NJ 07044-2917 — (973) 857-3400
  • 794 Union St, Brooklyn, NY 11215-1307 — (212) 624-1077

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00372200 (NJ)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1306213343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mskcc Clinical Practice Plan — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Hackensack