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

Taylor William Nottage

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275145609

Taylor William Nottage is a Physician Assistant in Paramus, New Jersey. Qualified in 2020, 6 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

650 From Rd
Paramus, NJ 07652-3517
Phone: (201) 639-6620
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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 25MP00781900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1275145609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address15 Tintle Rd # 2, Butler, NJ 07405-1900

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Paramus