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MR. KOUJI KIKUYAMA PHYSICIAN ASSISTANT
NPI 1396474508
Physician Assistant in Newark, NJ

Active since June 06, 2022PECOS Enrolled
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Apr 23, 2024, Jun 6, 2022 (3 updates tracked since 2022).

About Mr. Kouji Kikuyama Physician Assistant NPPES

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

MR. KOUJI KIKUYAMA PHYSICIAN ASSISTANT (NPI 1396474508) is an individual physician assistant in Newark, New Jersey, licensed in New Jersey (25MP00717400) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396474508
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KOUJI KIKUYAMACredential: PHYSICIAN ASSISTANT
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address201 Lyons AveNewark, NJ 07112-2027 · (973) 926-7000
Phone(973) 926-7000
Sole ProprietorNo
Enumeration DateJune 6, 2022
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1396474508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00717400
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.
201 LYONS AVE, Newark, NJ 07112
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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 (PECOS)

Mr. Kouji Kikuyama Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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 20

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

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
GARY LAYTON DDS
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7642
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 Kouji Kikuyama's NPI number?

The NPI number for Kouji Kikuyama is 1396474508. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Kouji Kikuyama located?

Kouji Kikuyama practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is Kouji Kikuyama's specialty?

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

Is Kouji Kikuyama enrolled in Medicare?

Yes. Kouji Kikuyama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kouji Kikuyama was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.