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

Kevin Jaramillo, PAC

Individual provider Physician Assistant · NPI 1790459816

Kevin Jaramillo, PAC is a Physician Assistant in Englewood, New Jersey. Qualified in 2021, 5 years ago. Practices with Hackensack Meridian Urgent Care PC, a 50-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
5
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

39 Parkview Ter Apt 39
Englewood, NJ 07631-4214
Phone: (201) 674-8415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2745644 (NY)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00760900 (NJ)

Record details

NPI number1790459816
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address16-12 Far Rockaway Blvd, Far Rockaway, NY 11691

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hackensack Meridian Urgent Care Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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