Active NPI
Katie Ginzburg, PA-C
- Medical Physician Assistant
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00706900
- Practice address
- 65 James St
Edison, NJ 08820-3947 - Phone
- (732) 321-7000
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1106825 | CA | |
| Medical Physician Assistant | 363AM0700X | 25MP00706900 | NJ | Primary |
Addresses
Primary practice location
65 James St
Edison, NJ 08820-3947
Mailing address
331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688
Other practice location 1
130 E 77th St Fl 13
New York, NY 10075-1851
Phone (212) 434-3420
Other practice location 2
3791 Katella Ave
Los Alamitos, CA 90720-3105
Phone (562) 596-6736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020697 | NY | MD | Clinical Psychologist |
| 1106825 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
130 E 77th St
Fl 13
New York, NY 10075
Phone (212) 434-3285
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Organizations & group practices 2
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1124370937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD",
"address_2": "BLDG 2, STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7000"
}
],
"practiceLocations": [
{
"address_1": "130 E 77th St Fl 13",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100751851",
"country_code": "US",
"telephone_number": "212-434-3420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3791 Katella Ave",
"address_purpose": "LOCATION",
"city": "Los Alamitos",
"state": "CA",
"postal_code": "907203105",
"country_code": "US",
"telephone_number": "562-596-6736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GINZBURG",
"first_name": "KATIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "1106825",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00706900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.