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PAI PARTICIPANT 25 PC
NPI 1568028314
Internal Medicine - Geriatric Medicine in Phillipsburg, NJ

Active since May 17, 2019
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865(908) 859-2800(908) 859-4532 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Aug 10, 2020, May 17, 2019 (3 updates tracked since 2019).

About Pai Participant 25 Pc NPPES

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

PAI PARTICIPANT 25 PC (NPI 1568028314) is a healthcare organization registered as a geriatric medicine in Phillipsburg, New Jersey and active in the NPI registry since May 2019. The organization lists Brittain Brantley, Acting President, as its authorized official.

NPPES Registry Identity

NPI1568028314
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePAI PARTICIPANT 25 PC
Location Address290 RED SCHOOL LNPhillipsburg, NJ 08865-2276
Mailing AddressPo Box 639676Cincinnati, OH 45263-9676 · (859) 291-4800
Phone(908) 859-2800
Fax(908) 859-4532
Organization SubpartNo
Authorized OfficialBrittain BrantleyActing President · (302) 300-5138
Enumeration DateMay 17, 2019
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1568028314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
290 RED SCHOOL LN, Phillipsburg, NJ 08865
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pai Participant 25 Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Pai Participant 25 PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Internal Medicine4
Family Practice2
Geriatric Medicine1

Clinicians, nearest first (12)

Ann Bagchi, PHD, DNP
Nurse Practitioner
NPI 1063935641
2204 US HIGHWAY 130 STE C3
North Brunswick, NJ 08902
(732) 821-5151
✔ PECOS✔ Accepts Medicare40 mi
Kavitha Thukkaram, M.D
Internal Medicine
NPI 1003854282
212 BRIDGE ST
Metuchen, NJ 08840
(732) 632-1700
✔ PECOS✔ Accepts Medicare43 mi
Alla Katseva, M.D.
Geriatric Medicine
NPI 1871547950
561 CRANBURY RD SUITE M
East Brunswick, NJ 08816
(732) 238-8200
✔ PECOS✔ Accepts Medicare44 mi
Hossam Khalil, M.D.
Internal Medicine
NPI 1295733970
233 MIDDLE RD SUITE 2
Hazlet, NJ 07730
(732) 335-0900
✔ PECOS56 mi
Rosemarie Gozum
Nurse Practitioner
NPI 1053870881
77 SCHANCK RD
Freehold, NJ 07728
(732) 725-1415
✔ PECOS✔ Accepts Medicare57 mi
Tamila Kadyr-Akhunova
Nurse Practitioner
NPI 1184595431
35 S WASHINGTON AVE
Bergenfield, NJ 07621
(201) 586-0001
✔ PECOS✔ Accepts Medicare63 mi
Ritu Suri, MD
Family Practice
NPI 1972696409
245 ENGLE STREET
Englewood, NJ 07631
(201) 569-5330
✔ PECOS✔ Accepts Medicare64 mi
Annie Varghese, APN
Nurse Practitioner
NPI 1649708116
245 ENGLE ST
Englewood, NJ 07631
(201) 569-5330
✔ PECOS✔ Accepts Medicare64 mi
Suman Thomas
Nurse Practitioner
NPI 1720498678
245 ENGLE ST
Englewood, NJ 07631
(201) 569-5330
✔ PECOS✔ Accepts Medicare64 mi
Gary Bernett, M.D.
Internal Medicine
NPI 1548204985
101 E STATE ST
Kennett Square, PA 19348
(610) 925-4157
✔ PECOS66 mi
Raafat Gorgy, DO
Family Practice
NPI 1700137734
690 MAIN ST S
Southbury, CT 06488
(203) 264-6503
✔ PECOS✔ Accepts Medicare114 mi
Jason Woo, M.D.
Internal Medicine
NPI 1962744573
407 ULUNIU ST FL 4
Kailua, HI 96734
(707) 709-6663
✔ PECOS4,899 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pai Participant 25 PC's NPI number?

The NPI number for Pai Participant 25 PC is 1568028314. It was assigned to this organization in the NPPES registry on May 17, 2019.

Where is Pai Participant 25 PC located?

Pai Participant 25 PC is located at 290 Red School Ln, Phillipsburg, NJ 08865. The listed phone number is (908) 859-2800.

What is Pai Participant 25 PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Pai Participant 25 PC enrolled in Medicare?

Yes. Pai Participant 25 PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pai Participant 25 PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Pai Participant 25 PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Internal Medicine (4) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pai Participant 25 PC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.