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

Individual provider Physician Assistant · NPI 1174071625

Kayla Lodge, PA-C is a Physician Assistant in Princeton, New Jersey. Qualified in 2016, 10 years ago. Practices with New Jersey Healthcare Specialists PC, a 573-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

325 Princeton Ave
Princeton, NJ 08540-1698
Phone: (609) 924-8131
Fax: (609) 924-8532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00409800 (NJ)

Record details

NPI number1174071625
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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 New Jersey Healthcare Specialists Pc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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