JAMES E. PATRICK PA-C
NPI 1689663528
Physician Assistant - Surgical in Hackensack, NJ

Q: What is James Patrick's NPI number?

The NPI number for James Patrick is 1689663528. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is James Patrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for James Patrick was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 13, 2005PECOS Enrolled

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5430 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James E. Patrick Pa-c NPPES

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

JAMES E. PATRICK PA-C (NPI 1689663528) is an individual surgical provider in Hackensack, New Jersey, licensed in New Jersey (25MP00691400) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689663528

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJAMES E. PATRICKCredential: PA-C

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address32507 Hawks Lake LnSorrento, FL 32776-7738

Phone(551) 996-5430

Sole ProprietorNo

Enumeration DateOctober 13, 2005

Last NPPES UpdateJune 7, 2022

NPPES CertifiedJune 7, 2022

✔ NPI 1689663528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NJ · 25MP00691400✔ Licensed in FL · PA9101332

30 PROSPECT AVE, Hackensack, NJ 07601

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Other Identifiers 1

Medicaid291312700FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E. Patrick Pa-c 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.

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services35 patients

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.

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