Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104489426 Individual Practitioner Female Practitioner

Katlyn Cusack , MS, RDN, LDN, PA-C

Physician Assistant • Paterson, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katlyn Cusack, MS, RDN, LDN, PA-C is a certified Physician Assistant practicing in Paterson, NJ. With approximately 2 years of clinical experience since completing medical education in 2024, Katlyn Cusack delivers high-quality medical care to the local community at 703 MAIN ST.

Katlyn Cusack is affiliated with St Josephs Medical Group Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

703 Main St

Paterson, NJ 075032621

Telephone 7325393584
Associated Practice Facility / Clinic
🏢 Neonatal Associates, Llc Facility NPI 1154326296

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Paterson, NJ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -4.9 yrs vs City Avg
City Avg: 6.9 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Paterson, NJ (3413 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cusack (2 Years) 2 Yrs
Paterson Specialty Average (6.9 Years) 6.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00909300

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NJ 25MP00909300

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NJ 25MP00909300

Definition to come...

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License NJ 86103286

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cdr
86103286 (NJ)

Hospital & Practice Group Affiliations

St Josephs Medical Group Pc

703 Main St, Paterson, NJ 075032621

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Setareh Shams , MD

Obstetrics & Gynecology - Obstetrics

NPI 1003176462

Doctor of Medicine (M.D.)

NPI 1003493719

Doctor of Medicine (M.D.)

Dr. Karwan Ameen , MD

Internal Medicine

NPI 1003493842

Doctor of Medicine (M.D.)

Dr. Saif Hasan , DO

Student in an Organized Health Care Education/Training Program

NPI 1003557836

Doctor of Osteopathic Medicine (D.O.)

Susan Mugalu , ANP

Nurse Practitioner - Family

NPI 1003597857

Adult Nurse Practitioner

Jonathan Movsik

Student in an Organized Health Care Education/Training Program

NPI 1003756685

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 28, 2025

Registered at 703 MAIN ST, PATERSON, NJ 075032621 (Tel: 7325393584)

📍
Updated Business Mailing Address January 28, 2025

Registered at 703 MAIN ST, PATERSON, NJ 075032621

👤
Provider Name / Credentials Updated January 28, 2025

Recorded as KATLYN CUSACK, MS, RDN, LDN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Physician Assistant (License #25MP00909300 in NJ)

NPI Profile Active April 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2019

Registered at 1201 SPRINGWOOD AVE STE 104, ASBURY PARK, NJ 077126796 (Tel: 7325393584)

📍
Updated Business Mailing Address April 22, 2019

Registered at 1201 SPRINGWOOD AVE STE 104, ASBURY PARK, NJ 077126796

👤
Provider Name / Credentials Updated April 22, 2019

Recorded as KATLYN CUSACK, MS, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2019

Dietitian, Registered (License #86103286 in NJ)

🟢
Initial NPI Registration & Enumeration April 22, 2019

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: 1104489426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2019
Last Update: January 28, 2025
Sole Proprietor: Yes

Mailing Address

703 Main St

Paterson, NJ 075032621

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.