Individual provider Active NPI

Mae Kane, PA-C

  • Surgical Physician Assistant
  • Red Bank, NJ
National Provider Identifier
1013788462
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00831700 Issued in NJ
Practice address
331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691
Phone
(732) 242-7101
NPI assigned
Jan 15, 2024
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Surgical Physician Assistant 363AS0400X 25MP00831700 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691

Mailing address

200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Phone (732) 426-3420

Other practice location 1

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (609) 227-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003180 NJ Practitioner - Physician Assistant 5193162865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Image Skin CenterGroup PAC ID 1557502390, 9 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Hackettstown, NJ 07840-4174
Phone (908) 509-1938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Woods O.R., Inc. CurrentSince May 18, 2025 Accepting new patients
Gianna Scaglione PA-C LLC Surgical Past Accepting new patients

Locations

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1013788462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-426-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015691",
            "telephone_number": "732-242-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024224",
            "country_code": "US",
            "telephone_number": "609-227-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00831700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.