Coty Kalbach, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00927900 Issued in NJ

Practice address

1141 Mantua Pike
West Deptford, NJ 08051-1608

Phone

(732) 456-7777

Fax

(732) 200-1056

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ckalbach@cdnj.emadirect.md

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.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807
  Medicare reassignment Care Compare group
• Maryland Skin Care Centers LLC

  • Dermatology Physician
  • Elkton, MD
  • NPI 1457642068
  NPD (past)
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1093167272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 ELLIS DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423410",
            "telephone_number": "484-332-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 MANTUA PIKE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511608",
            "telephone_number": "732-456-7777",
            "fax_number": "732-200-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622665",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "732-200-1056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALBACH",
        "first_name": "COTY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00927900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jaiswal, DMD
• John J Gartland Jr MD PC
• Betsy Ann Johnston, LPN
• Charlotte Joanne Jordan, MSN RN CRNP
• Youssef Josephson, D.O
• Anthony Joseph Kash Jr., D.M.D,
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, PC
• Harry Kim, PHARMD
• Stacy Kimbrough

• Medical Physician Assistant in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.