JAMES CAI
NPI 1215331152
Physician Assistant in Edison, NJ

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
2 LINCOLN HWY STE 500, EDISON, NJ 08820(732) 516-9868 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2024, Nov 6, 2024, Jul 24, 2024 (3 updates tracked since 2024).

About James Cai NPPES

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

JAMES CAI (NPI 1215331152) is an individual physician assistant in Edison, New Jersey and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lincoln Memorial University Medical Department (2023).

NPPES Registry Identity

NPI1215331152
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES CAI
Location Address2 LINCOLN HWY STE 500Edison, NJ 08820-3961
Mailing Address2 Lincoln Hwy Ste 500Edison, NJ 08820-3961
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2023
Enumeration DateOctober 21, 2014
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1215331152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

2 LINCOLN HWY STE 500, Edison, NJ 08820

Secondary Practice Locations 2

Location 1217 Grand St Ste 401New York, NY 10013-4396 · Phone (212) 390-1830
Location 2567 Fischer BlvdToms River, NJ 08753-6311 · Phone (732) 280-2727

Accepted Insurance

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

James Cai 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 ID9638495609
PECOS Enrollment IDI20150310001721, I20240302000356
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services42 patients
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.
43 services30 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
42 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services12 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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 8

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

Family Medicine
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Pediatrics
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Pediatrics
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Internal Medicine
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Pediatrics
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Nurse Practitioner
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Nurse Practitioner (Family)
2 LINCOLN HWY STE 500
EDISON, NJ 08820
Pediatrics
2 LINCOLN HWY STE 500
EDISON, NJ 08820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215331152, enumerated as an "individual" on October 21, 2014.

The provider is located at 2 LINCOLN HWY STE 500 EDISON, NJ 08820 and the phone number is (732) 516-9868.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.