Individual provider Active NPI

Victoria Caban, PA-C

  • Adult Medicine Physician
  • Monsey, NY
National Provider Identifier
1235015801
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
035429-01 Issued in NY
Practice address
77 Ny-59
Monsey, NY 10952
Phone
(845) 356-2273
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X 035429-01 NY Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 25MP00942600 NJ

Addresses

Primary practice location

77 Ny-59
Monsey, NY 10952

Mailing address

77 Ny-59
Monsey, NY 10952
Phone (845) 356-2273

Other identifiers 1

IdentifierTypeStateIssuer
25MP00942600MedicaidNJ

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
I20251001000120 NJ Practitioner - Physician Assistant 0446756209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shah Anuj MD PCGroup PAC ID 5395006902, 29 clinicians

Practice addresses (Care Compare)

1031 McBride Ave
Suite D208
Woodland Park, NJ 07424-2569
Phone (973) 916-0002

143 Palisade Ave
Jersey City, NJ 07306-1101
Phone (973) 916-0002

293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 916-0002

310 Central Ave
Suite 109
East Orange, NJ 07018-2853
Phone (973) 916-0002

356 Totowa Ave
Paterson, NJ 07502-2137
Phone (973) 916-0002

467 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (973) 916-0002

591 Franklin Ave
Nutley, NJ 07110-1284
Phone (973) 916-0002

643 Mount Prospect Ave
Newark, NJ 07104-3109
Phone (973) 916-0002

757 Mount Prospect Ave
Newark, NJ 07104-3220
Phone (973) 916-0002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare, LLC Multi-Specialty PastSince Nov 1, 2008 Accepting new patients
Orion Healthcare LLC Multi-Specialty Past Accepting new patients
Immediate Care P.C. Multi-Specialty Past Accepting new patients
Humberto T Perez MD PC Multi-Specialty PastSince Mar 29, 2011 Accepting new patients
Bergenline Foot Care LLC Multi-Specialty PastSince Mar 17, 2014 Accepting new patients

Organizations & group practices 6

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1235015801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NY-59",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-356-2273",
            "fax_number": "845-356-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NY-59",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-356-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "035429-01",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00942600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MP00942600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.