Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kyle James Viola, PA

Individual provider Physician Assistant · NPI 1689102014

Mr. Kyle James Viola, PA is a Physician Assistant in Hackensack, New Jersey. Qualified in 2017, 9 years ago. Practices with Premier Brain and Spine LLC, a 132-clinician group, works from 5 locations 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.

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Practice location Address checks out

146 N State Rt 17 Ste 2
Hackensack, NJ 07601-1071
Phone: (551) 999-7050
Fax: (833) 428-0623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 855 Valley Rd Ste 200, Clifton, NJ 07013-2441 — (551) 999-7050
  • 3540 John F Kennedy Blvd, Jersey City, NJ 07307-3450 — (551) 999-7050
  • 11 Ridge Rd, North Arlington, NJ 07031-6306 — (551) 999-7050
  • 714 10th St., Secaucus, NJ 07660 — (201) 865-2050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00451300 (NJ)

Record details

NPI number1689102014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 30, 2017
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address90 Matawan Rd Ste 302, Matawan, NJ 07747-2653

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Brain And Spine Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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