Individual provider Active NPI

Catherine Jahn Pang, PA-C

  • Physician Assistant
  • Rahway, NJ
National Provider Identifier
1114367158
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00308400 Issued in NJ
Practice address
2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone
(732) 381-3740
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 25MP00308400 NJ Primary

Addresses

Primary practice location

2005 Saint Georges Ave
Rahway, NJ 07065-2007

Mailing address

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

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
I20170816000172 NJ Practitioner - Physician Assistant 2567741010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00308400NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jahn.catherine.007.0300087@ucha.meditab.direct-ci.com

Organizations & group practices 1

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1114367158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652007",
            "telephone_number": "732-381-3740",
            "fax_number": "732-215-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652007",
            "telephone_number": "732-381-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "CATHERINE",
        "middle_name": "JAHN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00308400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.