Individual provider Active NPI

Kate Rennier Roz Gonda

  • Physician Assistant
  • Union, NJ
National Provider Identifier
1083023386
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017720-1 Issued in NY
Practice address
1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone
(908) 522-6300
NPI assigned
Aug 12, 2014
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 017720-1 NY Primary

Addresses

Primary practice location

1000 Galloping Hill Rd
Union, NJ 07083-7989

Mailing address

36 Barbour PL
Piscataway, NJ 08854-3591

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
I20150724010907 NJ Practitioner - Physician Assistant 7315267291 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Care LLCGroup PAC ID 7719959998, 119 clinicians
Carbon Health Primary Care of New Jersey PAGroup PAC ID 2567906373, 6 clinicians

Practice addresses (Care Compare)

105 Raider Blvd
Suite 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221

119 US Hwy 22
Suite 8
Green Brook, NJ 08812-2147
Phone (908) 333-4234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017720-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Primary Care of New Jersey PA CurrentSince Dec 9, 2025 Accepting new patients

Locations

142 Highway 35
Ste 206
Eatontown, NJ 07724
Phone (848) 258-0637

119 US Highway 22
Green Brook, NJ 08812
Phone (732) 250-9550

119 US Highway 22
Ste 8
Green Brook, NJ 08812
Phone (908) 333-4234

1325 US Highway 206
Skillman, NJ 08558
Phone (609) 279-9125

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1083023386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BARBOUR PL",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-522-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDA",
        "first_name": "KATE RENNIER",
        "middle_name": "ROZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.