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

Mr. Jerry Kong, PA

Individual provider Physician Assistant · NPI 1023293909

Mr. Jerry Kong, PA is a Physician Assistant in Freehold, New Jersey. Qualified in 2006, 20 years ago. Practices with Advanced Pain Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

501 Iron Bridge Rd Ste 1
Freehold, NJ 07728-5304
Phone: (732) 720-2565
Fax: (732) 720-2556
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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 25MP00133300 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00133300 (NJ)

Record details

NPI number1023293909
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advanced Pain Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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