Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATLYN CUSACK, MS, RDN, LDN, PA-C
Active Sole ProprietorKATLYN CUSACK, MS, RDN, LDN, PA-C is a Physician Assistant healthcare provider located in PATERSON, New Jersey. NPI 1104489426 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PATERSON, NJ
Registration Details
- NPI Number
- 1104489426
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2019 (7.1675839336743 yrs)
- Last Updated
- Jan 28, 2025
- Licenses
-
25MP00909300 (NJ)25MP00909300 (NJ)25MP00909300 (NJ)86103286 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 MAIN STPATERSON, NJ, 075032621Browse NJ providers · Browse ZIP 07503
- Phone
- 7325393584
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Registered Dietitian
Other Physician Assistant Providers in PATERSON, NJ
| Name | Credential | NPI |
|---|---|---|
| MISS ANEEKAH G SIMMONS-DURHAM | PA | 1528002193 |
| DOLORES JEAN LEW SR. | — | 1992856710 |
| MRS. JODI MICHELE WELT | MS, RD, PA | 1689801284 |
| JACKIE GARCIA-DU | PA-C | 1386050649 |
| ESTHER FAYE FEINSTEIN | — | 1134645450 |
| MR. SHERIF AZER | PA-C | 1730722349 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.