Charles Kaczmarski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114472 Issued in FL

Practice address

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Phone

(609) 345-4000

Fax

(609) 441-8178

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, FL, PA, TX5 enrollments

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 5

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MHP MD PLLC 45 clinicians

Cape Regional Urgent Care LLC 36 clinicians

Pennsylvania Urgent Care Centers, PLLC 107 clinicians

Atlanticare Physician Group PA 506 clinicians

Central Jersey Urgent Care 78 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.31 of 100Reported as group

Quality

96.46

Improvement activities

40

Cost

82.46

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckaczmarski657365@direct.shands.ufl.edu

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608

  NJ

  Medicare reassignment Care Compare group NPD
• Cape Regional Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cape May Court House, NJ
  • NPI 1538470679

  NJ

  Medicare reassignment Care Compare group NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091

  NJ

  Medicare reassignment Care Compare group NPD
• Pennsylvania Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721

  PA

  Medicare reassignment Care Compare group NPD
• MHP MD PLLC

  • Urgent Care Clinic/Center
  • Conshohocken, PA
  • NPI 1508538695

  PA

  Medicare reassignment Care Compare group
• Leesburg Regional Medical Center Physician Services LLC

  • Emergency Medicine Physician
  • Leesburg, FL
  • NPI 1104063114

  FL

  Medicare reassignment NPD
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754

  NJ

  Medicare reassignment
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  NJ

  Medicare reassignment
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  FL

  Medicare reassignment
• Port City Emergency Physicians LLP

  • Emergency Medicine Physician
  • Oswego, NY
  • NPI 1134370547

  NY

  Medicare reassignment
• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment
• Hammonton Rescue Squad Inc

  • Non-emergency Medical Transport (VAN)
  • Hammonton, NJ
  • NPI 1861509408
  NPD (past) Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1285280701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-345-4000",
            "fax_number": "609-441-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-345-4000",
            "fax_number": "609-441-8178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Meggison Rd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321633028",
            "country_code": "US",
            "telephone_number": "352-643-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 College Ave # Bfi123",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015778",
            "country_code": "US",
            "telephone_number": "570-327-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 S US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115384",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "352-643-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMARSKI",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00591100",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline a. Robinson, P.C.
• Evan Jaep, CRNA
• Jacqueline Jankowsky, CRNA
• Eva Johannesen, P.T.
• Christina M Johnson, PA
• Jacqueline A Kelsch-Robinson, DC
• John Matthew Kern, DO
• Kaitlyn Knurek, PHARM.D.
• Merceditas Lagmay
• Emily Lanza, PHARMD

• All providers in Pomona, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.