Michael Tyler Booth, PA
Michael Tyler Booth, PA is a Physician Assistant in Franklin Lakes, New Jersey. Qualified in 2017, 9 years ago. Practices with Kayal Medical Group, LLC, a 77-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 9
- Licensed in
- NJ
- In the registry since
- 2017
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
784 Franklin Ave Ste 250Franklin Lakes, NJ 07417-1306
Phone: (844) 777-0910
Fax: (201) 560-0712
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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 25MP00452000 (NJ) |
|---|
Record details
| NPI number | 1811408313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 24, 2017 |
| Last updated in NPPES | November 2, 2018 |
| Mailing address | 39 Cedar Grove Pkwy, Cedar Grove, NJ 07009-1405 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Kayal Medical Group, Llc — 77 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Franklin Lakes
-
Mr. Robert Louis Caldera, PA
784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 · (844) 777-0910
-
Mrs. Jennifer M Castellanos, PA-C
784 Franklin Ave, Franklin Lakes, NJ 07417 · (844) 281-1783
-
Joel Marrero
784 Franklin Ave, Franklin Lakes, NJ 07417 · (844) 777-0910
-
Angelina Mekhail
703 Chestnut Pl, Franklin Lakes, NJ 07417-1724 · (201) 364-6262