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JOSEPHINE KALLAH MSPA-C
NPI 1063287894
Physician Assistant in Hackensack, NJ

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601(908) 359-8980 Get Directions Write a Review

NPPES record last updated: November 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Josephine Kallah Mspa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPHINE KALLAH MSPA-C (NPI 1063287894) is an individual physician assistant in Hackensack, New Jersey, licensed in New Jersey (25MP00817100) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063287894
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPHINE KALLAHCredential: MSPA-C
Location Address20 PROSPECT AVE STE 702Hackensack, NJ 07601-1974
Mailing Address20 Prospect Ave Ste 702Hackensack, NJ 07601-1974 · (908) 359-8980
Phone(908) 359-8980
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
Last NPPES UpdateNovember 26, 2023
NPPES CertifiedNovember 26, 2023
✔ NPI 1063287894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NJ · 25MP00817100✔ Licensed in NY · 031010
Definition
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.
20 PROSPECT AVE STE 702, Hackensack, NJ 07601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Josephine Kallah Mspa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577916675
PECOS Enrollment IDI20240125000118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY TANK PA-C
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. VIDYA MANI MEDEPALLI MD
Dermatology
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. SHIKHA RAO MD
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (212) 283-3000
DR. JEREMY ROBERT MAN M.D.
Dermatology
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (201) 441-9890
ERIN COURTNEY NP-C
Nurse Practitioner (Adult Health)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (201) 441-9890
DR. DAVID J GOLDBERG M.D
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
CRYSTAL SABRINA FERMANO
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. DAVID HERMOGENES CIOCON M.D.
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (201) 441-9890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josephine Kallah's NPI number?

The NPI number for Josephine Kallah is 1063287894. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Josephine Kallah located?

Josephine Kallah practices at 20 Prospect Ave Ste 702, Hackensack, NJ 07601. The listed phone number is (908) 359-8980.

What is Josephine Kallah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Josephine Kallah enrolled in Medicare?

Yes. Josephine Kallah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Josephine Kallah was last updated on November 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.