Kevin John
Kevin John is a Physician Assistant in Dover, New Jersey. Qualified in 2024, 2 years ago. Practices with Ccmma Nj LLC, a 30-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
400 W Blackwell StDover, NJ 07801-2525
Phone: (201) 779-4473
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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 |
|---|
Record details
| NPI number | 1063266138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2024 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
| Mailing address | 155 3rd St, Bergenfield, NJ 07621-1439 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Ccmma Nj Llc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Dover
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Philip Goncalves, PA-C
18 W Blackwell St, Dover, NJ 07801-3841 · (973) 328-3344