Individual provider Active NPI

Taylor Rose Kaschak, PA-C

  • Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1063290302
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064945 Issued in PA
Practice address
125 Smithfield LN
East Stroudsburg, PA 18301-8715
Phone
(484) 658-5437
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA064945 PA Primary

Addresses

Primary practice location

125 Smithfield LN
East Stroudsburg, PA 18301-8715

Mailing address

125 Smithfield LN
East Stroudsburg, PA 18301-8715
Phone (484) 658-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231214002926 PA Practitioner - Physician Assistant 6204285307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064945PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc CurrentSince Dec 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

174 Harvest Ln
Pocono Summit, PA 18346
Phone (272) 639-5430

208 Lifeline Rd
Ste 201
Stroudsburg, PA 18360
Phone (570) 476-6700

Interoperability endpoints

  • Direct secure messaging: taylor.kaschak@slpg.direct-sluhn.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1063290302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SMITHFIELD LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018715",
            "telephone_number": "484-658-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SMITHFIELD LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018715",
            "telephone_number": "484-658-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASCHAK",
        "first_name": "TAYLOR",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.