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

Katlyn Cusack, MS, RDN, LDN, PA-C

Individual provider Surgical Physician Assistant · NPI 1104489426

Katlyn Cusack, MS, RDN, LDN, PA-C is a Physician Assistant in Paterson, New Jersey. Qualified in 2024, 2 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2019
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (732) 539-3584
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00909300 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00909300 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00909300 (NJ)
Registered Dietitian Taxonomy 133V00000X · Licence 86103286 (NJ)

Record details

NPI number1104489426
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LDN , PA-C
Sole proprietorYes
NPI enumeratedApril 22, 2019
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 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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