Individual provider Active NPI

Laura Kissane, PA-C

  • Physician Assistant
  • Branchburg, NJ
National Provider Identifier
1174967186
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4673 Issued in MA
Practice address
971 US Highway 202 N # 6108
Branchburg, NJ 08876-3757
Phone
(512) 850-5498
NPI assigned
Apr 21, 2013
Last updated
Mar 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 PA4673 MA Primary

Addresses

Primary practice location

971 US Highway 202 N # 6108
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N # 6108
Branchburg, NJ 08876-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002905CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, Inc Physician Assistant PastSince Jan 1, 2010 Accepting new patients
Asap Medical Associates PC Past Accepting new patients
Alliance Medical Group of Greater Waterbury PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lkissane@direct.wtbyhosp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1174967186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N # 6108",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N # 6108",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "512-850-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.