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

Mr. Kevin A Lane Sr., PA-C

Individual provider Physician Assistant · NPI 1821102203

Mr. Kevin A Lane Sr., PA-C is a Physician Assistant in New York, New York. Licensed in Georgia, Maryland, New York and West Virginia. Registered with an NPI since 2006.

Licensed in
GA, MD, NY, WV
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

622 W 168th St # VC-260
New York, NY 10032-3720
Phone: (212) 305-6059
Fax: (347) 479-1303
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005639 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 002999 (GA)
Physician Assistant Taxonomy 363A00000X · Licence C0003531 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 2978 (WV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 005639 (NY)

Record details

NPI number1821102203
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Other providers in New York