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Active NPI 1689663528 Individual Practitioner Male Practitioner

James E. Patrick , PA-C

Physician Assistant - Surgical • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

James Patrick, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Hackensack, NJ. Practice services are available at 30 PROSPECT AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519965430
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Hackensack, NJ (562 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
36 35 $1442.00 $112.76

Medical Specialties & State Licenses

CMS Verified: 2022-06-07
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NJ 25MP00691400

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9101332

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
291312700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Joy Tun , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003992959

Doctor of Medicine (M.D.)

NPI 1225085400

Doctor of Medicine (M.D.)

NPI 1265810386

Doctor of Medicine (M.D.)

Dunia Gibson , FNP

Nurse Practitioner - Family

NPI 1326556309

Family Nurse Practitioner

Dr. Jesse Humm , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1629427000

Doctor of Medicine (M.D.)

Ashley Kourgialis , PA-C

Physician Assistant - Medical

NPI 1639665441

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 07, 2022

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519965430)

NPI Profile Active May 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2008

Registered at 32507 HAWKS LAKE LN, SORRENTO, FL 327767738 (Tel: 4077911456)

📍
Updated Business Mailing Address May 14, 2008

Registered at 32507 HAWKS LAKE LN, SORRENTO, FL 327767738

👤
Provider Name / Credentials Updated May 14, 2008

Recorded as JAMES PATRICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2008

Physician Assistant (License #PA9101332 in FL)

🟢
Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689663528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2005
Last Update: June 07, 2022
Sole Proprietor: No

Mailing Address

32507 Hawks Lake Ln

Sorrento, FL 327767738

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.