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

Kayla Michelle McGovern, PA-C

Individual provider Physician Assistant · NPI 1619691920

Kayla Michelle McGovern, PA-C is a Physician Assistant in Ridgewood, New Jersey. Qualified in 2022, 4 years ago. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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

106 Prospect St
Ridgewood, NJ 07450-4433
Phone: (201) 639-2656
Fax: (201) 345-4405
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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 25MP00738900 (NJ)

Record details

NPI number1619691920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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